| NPI | 1821554221 |
|---|---|
| Doing Business As | DIETTERICK ORTHODONTICS |
| Doing Business As | DIETTERICK & PEDERSEN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | VIRGINIA ARSLAIN Business Coordinator 717-764-3854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |