Individual
JEFFREY EMANUEL DETTORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
155 CENTER ST, BLDG D 9, AUBURN, ME 04210
(207) 783-2521
(207) 783-3150
Mailing address
PO BOX 742, AUBURN, ME 04212-0742
(207) 576-6338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3478
ME
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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