DR. Gary R Dettman, DDS

NPI #1851470470 in Marengo, Illinois

Provider Information

NPI Number: 1851470470
Entity Type: Individual
Name: DR. Gary R Dettman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 3, 2006
Last Updated: Sep 9, 2008

Practice Location

Address: 110 E WASHINGTON ST
City: Marengo
State: Illinois
ZIP Code: 60152-3107
Phone: (815) 568-1202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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