Individual
DR. DARYL JAY DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 764-2334
Mailing address
6649 SE COUGAR MOUNTAIN WAY, BELLEVUE, WA 98006-5608
(425) 747-1444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105684
CO
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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