Individual
DR. JAMIE DITTY AHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
1004 S STATE ST, SUITE 3, DOVER, DE 19901-6925
(215) 300-3444
Mailing address
69 GAELIC CT, MAGNOLIA, DE 19962-2610
(302) 383-1400
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
G1-0001232
DE
Other
Enumeration date
08/03/2011
Last updated
11/16/2012
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