Jeffrey Emanuel Dettori, DDS

NPI #1194931998 in Auburn, Maine

Provider Information

NPI Number: 1194931998
Entity Type: Individual
Name: Jeffrey Emanuel Dettori, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 155 CENTER ST
Address 2: BLDG D 9
City: Auburn
State: Maine
ZIP Code: 04210
Phone: (207) 783-2521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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