Organization
EDWARD J DETOLLA DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD JAMES DETOLLA DDS PLLC (DENTIST OWNER)
(603) 279-8200
Entity
Organization
Contact information
Practice address
146 NH ROUTE 25, MEREDITH, NH 03253
(603) 279-8200
(603) 279-8200
Mailing address
146 NH ROUTE 25, MEREDITH, NH 03253
(603) 279-8200
(603) 279-8200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3767
NH
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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