Individual
DR. JERRY WILLIAM DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1525 ELECTION HOUSE RD., LANCASTER, OH 43130-9335
(740) 653-1031
(740) 653-4895
Mailing address
1525 ELECTION HOUSE ROAD, LANCASTER, OH 43130-9335
(740) 653-1031
(740) 653-4895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30014657
OH
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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