Diefenderfer, Mark

Diefenderfer, Mark is an individual health care provider with primary practice located at 1612 Huguenot Road , Midlothian VA 23113. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Diefenderfer, Mark can be contacted via phone (804) 794-9789.

Contact Information

Primary practice address
1612 Huguenot Road Midlothian VA 23113
Phone: (804) 794-9789
Fax: (804) 419-1059
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401410788 Virginia

Profile Details

NPI number 1588716112
LBN Legal business name Diefenderfer, Mark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Aug 5th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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