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1417062969
DAVID MICHAEL DITCH
PELICAN RAPIDS, MN
NPI
1417062969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN D10376)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
-- DAVID MICHAEL DITCH DDS
28 E MILL ST
PELICAN RAPIDS, MN 56572
Phone number: 218-863-5858
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Mailing Address
-- DAVID MICHAEL DITCH DDS
PO BOX 342
PELICAN RAPIDS, MN 56572
Phone number: 218-863-5858
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