Brett Diettinger

NPI 1245757434 · on the registry since 2017 · sole proprietor

Practice

Address: 1414 S Miller St
Santa Maria, CA 93454
Phone: (805) 739-1512
Organisation at this address: Empower Tct Inc
Soon C Kwon Dds Inc
Bing S Qiao Dds Inc.
Anne Pedersen Dds Inc
Sandra Provencio Therapy
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 55

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-21

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 California