| NPI | 1265710552 |
|---|---|
| Other Name | JAMIE DITTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: DE G1-0001232) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2012-11-16 |