Organization
PHYLLIS H. DETWILER DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHYLLIS HORNING DETWILER DMD (OWNER DENTIST)
(732) 345-8460
Entity
Organization
Contact information
Practice address
429 STATE ROUTE 35, RED BANK, NJ 07701-5914
(732) 345-8460
Mailing address
429 STATE ROUTE 35, RED BANK, NJ 07701-5914
(732) 345-8460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI011304
NJ
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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