| Phyllis H. Detwiler Dmd Pc | |
|
429 State Route 35 Red Bank NJ 07701-5914 | |
| (732) 345-8460 | |
| Not Available |
| Full Name | Phyllis H. Detwiler Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 429 State Route 35, Red Bank, New Jersey |
| Authorized Official Name and Position | Phyllis Horning Detwiler (OWNER DENTIST) |
| Authorized Official Contact | 7323458460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis H. Detwiler Dmd Pc 429 State Route 35 Red Bank NJ 07701-5914 Ph: (732) 345-8460 | Phyllis H. Detwiler Dmd Pc 429 State Route 35 Red Bank NJ 07701-5914 Ph: (732) 345-8460 |
| NPI Number | 1851517825 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851517825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI011304 (New Jersey) | Primary |
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