DANIEL JOHN DIETERICHS

ALBUQUERQUE, NM
NPI1407867245
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NM  390)
Enumeration Date2006-08-10
Last Update Date2020-02-26
Business Address
DANIEL JOHN DIETERICHS OD
3701 EUBANK BLVD NE
ALBUQUERQUE, NM 87111-3536
Phone number: 505-298-2020
Mailing Address
DANIEL JOHN DIETERICHS OD
1606 JACK NICKLAUS DR
BELEN, NM 87002-5925
Phone number: 505-450-5343