MICHAEL WAYNE DIETZ

COOKEVILLE, TN
NPI1326022872
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TN  DS2839)
Enumeration Date2005-11-30
Last Update Date2021-10-25
Business Address
Dr. MICHAEL WAYNE DIETZ D.D.S
3397 MIDDLEFORD DR
COOKEVILLE, TN 38506-6120
Phone number: 931-372-1647
Mailing Address
Dr. MICHAEL WAYNE DIETZ D.D.S
3397 MIDDLEFORD DR
COOKEVILLE, TN 38506-6120
Phone number: 931-372-1647
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