Individual
DR. BRUCE DIETTERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS., M.S., P.C.
Contact information
Practice address
1589 CARLISLE ROAD, YORK, PA 17408
(717) 764-3854
(717) 764-5855
Mailing address
1589 CARLISLE ROAD, YORK, PA 17408
(717) 764-3854
(717) 764-5855
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019419
PA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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