LYDIA J DIEKMANN

SLAYTON, MN
NPI1144733130
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy125K00000X Advanced Practice Dental Therapist
(Licence: MN  DT37)
Enumeration Date2017-11-13
Last Update Date2017-11-13
Business Address
LYDIA J DIEKMANN ADT
2711 BROADWAY AVE STE A00
SLAYTON, MN 56172-1313
Phone number: 507-836-1000
Mailing Address
LYDIA J DIEKMANN ADT
2711 BROADWAY AVE STE A00
SLAYTON, MN 56172-1313
Phone number: 507-836-1000