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 |