Individual
DR. DUSTIN MATTHEW DITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S
Contact information
Practice address
510 22ND AVE E STE 702, ALEXANDRIA, MN 56308
(320) 460-8400
Mailing address
510 22ND AVE E STE 702, ALEXANDRIA, MN 56308-4653
(320) 460-8400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13650
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D13650
MN
Other
Enumeration date
06/20/2016
Last updated
08/14/2018
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