Individual
DAVID MICHAEL DITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
28 E MILL ST, PELICAN RAPIDS, MN 56572
(218) 863-5858
(218) 863-1143
Mailing address
PO BOX 342, PELICAN RAPIDS, MN 56572
(218) 863-5858
(218) 863-1143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10376
MN
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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