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Individual

DR. JOHN C DETTLOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS, DC

Contact information

Practice address
330 RAYFORD RD, STE 129, SPRING, TX 77386-1980
(281) 298-7006
Mailing address
PO BOX 5424, KINGWOOD, TX 77325-5424
(281) 298-7006

Taxonomy

Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
4726
TX

Other

Enumeration date
04/09/2007
Last updated
07/08/2007
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