| NPI | 1316107709 |
|---|---|
| Other Name | DR JOHN M DIERKES |
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL DIERKES Pres 678-352-0919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: GA 9675) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2016-12-05 |