Organization
DRS. DETWILER & GANNON, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES RUSSELL DETWILER D.D.S. (PRESIDENT)
(419) 874-3129
Entity
Organization
Contact information
Practice address
880 COMMERCE DR, SUITE A, PERRYSBURG, OH 43551-5240
(419) 874-3129
(419) 874-5007
Mailing address
880 COMMERCE DR, SUITE A, PERRYSBURG, OH 43551-5240
(419) 874-3129
(419) 874-5007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
09/10/2007
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