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Organization

DAVID R. DATWYLER, D.D.S., A PROFESSIONAL CORPORATION

Active
Other names
Datwyler Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
ALETA BEUTER (CREDENTIALING SPECIALIST)
(775) 409-4614
Entity
Organization

Contact information

Practice address
3903 PARK DR, EL DORADO HILLS, CA 95762-4561
(916) 260-5213
Mailing address
3605 GRANT DR, RENO, NV 89509-5301
(775) 409-4614

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary

Other

Enumeration date
10/07/2024
Last updated
10/07/2024
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