Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORA KALONAROS DIETRICH, D.D.S.
ActiveDentist · PORT CHARLOTTE, FL
Registration Details
- NPI Number
- 1144435090
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2007 (18.999604694396 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DN10474 (FL)
Practice Information
- Address
-
17178 TOLEDO BLADE BLVDPORT CHARLOTTE, FL, 339542626Browse FL providers · Browse ZIP 33954
- Phone
- 9416257877
- Fax
- 9416254349
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in PORT CHARLOTTE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. LARRY LOUIS MAGGIORE | D.D.S. | 1154379956 |
| JOSEPH HALIM FARAG | DMD | 1194734723 |
| DAVID WAYNE ROWE | DMD | 1134131089 |
| DONALD A PARADISE | DDS | 1912919861 |
| STEVEN JAKUBAITIS | DMD | 1376627828 |
| DR. RICHARD DELBOCCIO | — | 1124186366 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.