Michael C Ditolla DDS Professional Dental Corporation
Michael C Ditolla DDS Professional Dental Corporation is a General Practice Dentistry in Lodi, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
630 S Fairmont Ave Ste DLodi, CA 95240-3803
Phone: (714) 420-4053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1619543568 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Ditolla — President · (714) 420-4053 |
| NPI enumerated | June 1, 2021 |
| Last updated in NPPES | April 2, 2024 |
| Certification date | April 2, 2024 |
| Mailing address | 630 S Fairmont Ave Ste D, Lodi, CA 95240-3803 |
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