Search › California › 122300000X
Fred Diercks, DDS
NPI 1215943071 · on the registry since 2006
Practice
- Address
- 320 N San Mateo Dr
San Mateo, CA 94401 - Phone
- (650) 342-7401
- Fax
- (650) 342-6003
- Organisation at this address
- Horizon Dental Practice,Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California