| Diederich Dmd, Pllc | |
|
668 E 12225 S Ste 101 Draper UT 84020-7310 | |
| (801) 762-8920 | |
| Not Available |
| Full Name | Diederich Dmd, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 668 E 12225 S Ste 101, Draper, Utah |
| Authorized Official Name and Position | Nik Diederich (OWNER) |
| Authorized Official Contact | 8019318322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diederich Dmd, Pllc 668 E 12225 S Ste 101 Draper UT 84020-7310 Ph: (801) 762-8920 | Diederich Dmd, Pllc 668 E 12225 S Ste 101 Draper UT 84020-7310 Ph: (801) 762-8920 |
| NPI Number | 1417839515 |
|---|---|
| Provider Enumeration Date | 07/22/2025 |
| Last Update Date | 07/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417839515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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