Individual
DR. DARRYL DETTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1501 PATRIOTS COLONY DR, WILLIAMSBURG, VA 23188-1340
(757) 220-5718
Mailing address
1501 PATRIOTS COLONY DR, WILLIAMSBURG, VA 23188-1340
(757) 220-5718
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5000288-015
WI
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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