Individual
DANIEL DITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
28 E MILL AVE STE 1, PELICAN RAPIDS, MN 56572-4229
(218) 863-5858
Mailing address
PO BOX 342, PELICAN RAPIDS, MN 56572-0342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13986
MN
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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