Individual
EMILY BEATRICE DITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
28 E MILL AVE, PELICAN RAPIDS, MN 56572-4229
(218) 863-5858
Mailing address
28 E MILL AVE, SUITE 1, PELICAN RAPIDS, MN 56572-4229
(218) 863-5858
(218) 863-1143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14200
MN
Other
Enumeration date
05/20/2019
Last updated
05/11/2020
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