Search › Illinois › 1223G0001X
Albert Diepstra, D.D.S
NPI 1356518179 · on the registry since 2008
Practice
- Address
- 342 Sherwood Rd
La Grange Park, IL 60526 - Phone
- (708) 482-4610
- Organisation at this address
- Lagrange Dental Management
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-05-12
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 Illinois