Individual
DR. JASON DERRICK DITERLIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5012 TALMADGE RD STE 100, TOLEDO, OH 43623-2168
(419) 474-9611
Mailing address
5012 TALMADGE RD STE 100, TOLEDO, OH 43623-2168
(419) 474-9611
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.24749
OH
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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