Individual
DR. ANTHONY WADE DITCHARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1574 MEDICAL CENTER PKWY STE 201, MURFREESBORO, TN 37129-3762
(615) 297-6997
(615) 895-9035
Mailing address
1574 MEDICAL CENTER PKWY STE 201, MURFREESBORO, TN 37129-3762
(615) 297-6997
(615) 895-9035
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
329104
MS
122300000X
Dentist
9105
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9105
TN
Other
Enumeration date
04/13/2007
Last updated
07/29/2022
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