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Individual

DR. JUSTIN D DIETRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2600 GLASGOW AVE, SUITE 120, NEWARK, DE 19702-4777
(302) 836-8200
(302) 836-5173
Mailing address
404 N HAMPTON CT, MIDDLETOWN, DE 19709-7944
(302) 376-8868

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
F10000583
DE

Other

Enumeration date
03/23/2006
Last updated
01/24/2011
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