Charles A. Ditta D.M.D.

NPI 1871638544 - Dentist - 122300000X

NPI Details
NPI 1871638544
Gender Male
Enumeration Date 02/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
22 OLD SHORT HILLS RD
SUITE 207
LIVINGSTON NJ, 07039-5604, US
Phone (973) 533-1777
Fax (973) 533-1099
Business Location
22 OLD SHORT HILLS RD
SUITE 207
LIVINGSTON NJ, 07039-5604, US
Phone (973) 533-1777
Fax (973) 533-1099
Toxanomy
Taxonomy Code 122300000X
License State New Jersey
License Number DI01569100
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According to our database, Dr. Charles A. Ditta D.M.D. NPI is 1871638544, taxonomy code is 122300000X and license number is DI01569100, license state is located at New Jersey. Charles A. Ditta D.M.D. physically located at 22 Old Short Hills Rd, Livingston NJ, 07039-5604. NPI Number Charles A. Ditta D.M.D. has the Individual type.

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1871638544 NPI number is provided on an as is basis without warranty of any kind. 1871638544 is maintained by the National Plan & Provider Enumeration System. The contents of Charles A. Ditta D.M.D. are for informational purposes only.