| NPI | 1245362409 |
|---|---|
| Professional Name | BRUCE DIETTERICK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA 019419) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |