NIKOLAS KENNETH DIEDERICH

MYRTLE BEACH, SC
NPI1154175818
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: UT  13909577-9923)
Enumeration Date2024-04-17
Last Update Date2024-04-17
Business Address
DR. NIKOLAS KENNETH DIEDERICH DMD
1267 38TH AVE N SPC 219
MYRTLE BEACH, SC 29577-1313
Phone number: 843-491-5963
Mailing Address
DR. NIKOLAS KENNETH DIEDERICH DMD
1894 E WAGSTAFF DR
SALT LAKE CITY, UT 84117-5165
Phone number: 801-931-8322
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