Conner Christian Diminick, DMD
Dentist, General Practice in Mount Joy, PA. Individual provider (NPI-1).
NPI number1164049896
StatusActive
Last updated in NPPESJun 29, 2020
Details
- NPI
- 1164049896
- Entity type
- Individual (NPI-1)
- Name
- Conner Christian Diminick
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2020
- Certification date
- Jun 29, 2020
- Last updated
- Jun 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS042745 | PA | Yes |
Practice location
1013 W Main St Ste 6Mount Joy, PA 17552-9699
Phone 717-653-8177
Mailing address
755 Summit Dr Apt 224Lancaster, PA 17601-1163
Phone 717-405-1590
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