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Individual

DR. DOUGLAS LYNN DITTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., D.M.D.

Contact information

Practice address
1004 S STATE ST STE 1, DOVER, DE 19901-6901
(302) 674-4450
(302) 678-3228
Mailing address
1004 S STATE ST, STE 1, DOVER, DE 19901-6925
(302) 674-4450
(302) 678-3228

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
GI-0001193
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000039259
DE
Enumeration date
02/05/2007
Last updated
11/11/2019
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