Organization
JOE D. DITTERLINE, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOE DALE DITTERLINE D.M.D. (OWNER)
(928) 634-7585
Entity
Organization
Contact information
Practice address
667 E MINGUS AVE, COTTONWOOD, AZ 86326-3760
(928) 634-7585
(928) 634-7257
Mailing address
667 E MINGUS AVE, COTTONWOOD, AZ 86326-3760
(928) 634-7585
(928) 634-7257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4395
AZ
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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