| David R. Datwyler, D.d.s., A Professional Corporation | |
|
3903 Park Dr El Dorado Hills CA 95762-4561 | |
| (916) 260-5213 | |
| Not Available |
| Full Name | David R. Datwyler, D.d.s., A Professional Corporation |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3903 Park Dr, El Dorado Hills, California |
| Authorized Official Name and Position | Aleta Beuter (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7754094614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David R. Datwyler, D.d.s., A Professional Corporation 3605 Grant Dr Reno NV 89509-5301 Ph: (775) 409-4614 | David R. Datwyler, D.d.s., A Professional Corporation 3903 Park Dr El Dorado Hills CA 95762-4561 Ph: (916) 260-5213 |
| NPI Number | 1841019809 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841019809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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