Individual
DR. JON P DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1525 ELECTION HOUSE RD NW, LANCASTER, OH 43130-9059
(740) 653-1031
(740) 653-4895
Mailing address
1525 ELECTION HOUSE RD NW, LANCASTER, OH 43130-9059
(740) 653-1031
(740) 653-4895
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30011784
OH
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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