| Andrew J. Dietz, Dds, Pa | |
| 
					17 White Horse Pike Suite 8 Haddon Heights NJ 08035-1299  | |
| (856) 547-8664 | |
| (856) 547-5560 | 
| Full Name | Andrew J. Dietz, Dds, Pa | 
|---|---|
| Speciality | Dentist - Prosthodontics | 
| Location | 17 White Horse Pike, Haddon Heights, New Jersey | 
| Authorized Official Name and Position | Andrew J. Dietz (OWNER) | 
| Authorized Official Contact | 8565478664 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Andrew J. Dietz, Dds, Pa 17 White Horse Pike Suite 8 Haddon Heights NJ 08035-1299 Ph: (856) 547-8664  | Andrew J. Dietz, Dds, Pa 17 White Horse Pike Suite 8 Haddon Heights NJ 08035-1299 Ph: (856) 547-8664  | 
| NPI Number | 1013261791 | 
|---|---|
| Provider Enumeration Date | 11/02/2012 | 
| Last Update Date | 11/02/2012 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013261791 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 22DI01814600 (New Jersey) | Primary | 
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