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Dan Joseph Dettmann, LD
Denturist in Corvallis, Oregon
NPI 1801034335

Dan Joseph Dettmann is a Denturist based in Junction City, OR. Dan Joseph Dettmann practices in Corvallis, OR and has the professional credentials of LD. The NPI Number for Dan Joseph Dettmann is 1801034335 and holds a License No. DT-DO-433361 (Oregon).

The current practice location address for Dan Joseph Dettmann is 33894 Se Eastgate Cir, Corvallis, OR and can be reached out via phone at 541-754-4901.

Location: 33894 Se Eastgate Cir, Corvallis, OR, 97448-1525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801034335
Provider Name
Dan Joseph Dettmann
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
33894 Se Eastgate Cir, Corvallis, OR, 97448-1525
Phone Number
541-754-4901
Fax Number
Provider Enumeration Date
01/21/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
33894 Se Eastgate Cir
City
Corvallis
State
Oregon
Zip
97333-2248
Phone Number
541-754-4901
Fax Number
person
Provider Business Mailing Address Details
Address
33894 Se Eastgate Cir
City
Corvallis
State
Oregon
Zip
97333-2248
Phone Number
541-754-4901
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DT-DO-433361 (Oregon)
Definition
Definition to come.
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