Individual
DR. EDWARD DETOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
146 ROUTE 25, MEREDITH, NH 03253
(603) 279-8200
(603) 279-8200
Mailing address
12 SERENITY LANE, MEREDITH, NH 03253
(603) 279-9980
(603) 279-8200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3467
NH
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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