Individual
DR. CHARLES HENRY DETJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3245 HOSPITAL DR, JUNEAU, AK 99801
(907) 463-4016
(907) 463-4032
Mailing address
9349 LAKEVIEW CT, JUNEAU, AK 99801
(907) 790-2042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015545
MI
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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