DR DANIEL J DIETERICHS, OPTOMETRISTS, P.C.
Optometry at Castillo Ave, Pueblitos, NM

License number
New Mexico NM0P2390
Category
Optometry
Type
Optometrist
Owner
Name: MR. BARBARA ANN DIETERICHS
Title: PRACTICE MANAGER
Phone: (505) 864-8992
Address
Address
837 W Castillo Ave, Pueblitos, NM 87002
National Provider ID: 1518147602
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. DANIEL J. DIETERICHS, OPTOMETRISTS, PC

837 W Castillo  , Belen, NM 87002

Registration:
Oct 26, 1999
State ID:
2040764
Business type:
Domestic Professional Corporation
Secretarys:
Daniel J Dieterichs (President),Barbara A Dieterichs (Secretary)
Agent:
Daniel J. Dieterichs,837 W Castillo, Belen, NM 87002 (Physical)

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