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1598549107
NICHOLAS DIETZ
SAN DIEGO, CA
NPI
1598549107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 109191)
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
NICHOLAS DIETZ
3737 MURPHY CANYON RD
SAN DIEGO, CA 92123-4454
Phone number: 858-694-0790
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Mailing Address
NICHOLAS DIETZ
4329 LOMA RIVIERA CT
SAN DIEGO, CA 92110-5504
Phone number: 541-390-3966
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