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1588716112
MARK DIEFENDERFER
MIDLOTHIAN, VA
NPI
1588716112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401410788)
Enumeration Date
2007-01-16
Last Update Date
2021-08-05
Business Address
MARK DIEFENDERFER DDS
1612 HUGUENOT ROAD
MIDLOTHIAN, VA 23113
Phone number: 804-794-9789
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Mailing Address
MARK DIEFENDERFER DDS
1612 HUGUENOT ROAD
MIDLOTHIAN, VA 23113
Phone number: 804-794-9789
Copy
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