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Organization
PHYLLIS H. DETWILER DMD PC
Active
Organization
PHYLLIS H. DETWILER DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS HORNING DETWILER DMD (OWNER DENTIST)
(732) 345-8460
Entity
Organization
Contact information
Practice address
429 STATE ROUTE 35, RED BANK, NJ 07701-5914
(732) 345-8460
Mailing address
429 STATE ROUTE 35, RED BANK, NJ 07701-5914
(732) 345-8460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI011304
NJ
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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