John David Diekmann, DDS Valid NPI
Individual provider · Dentist · Evansville, IN
- NPI
- 1164594545
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 12007227A (IN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-14
- Last updated
- 2007-07-08
Practice location
625 W Mill Rd
Evansville, IN 47710
(812) 464-9061