| Martin A. Dettmer, D.d.s. | |
|
531 E Roosevelt Rd Ste. 100 Wheaton IL 60187-5583 | |
| (630) 665-5550 | |
| Not Available |
| Full Name | Martin A. Dettmer, D.d.s. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 531 E Roosevelt Rd, Wheaton, Illinois |
| Authorized Official Name and Position | Martin A Dettmer (OWNER) |
| Authorized Official Contact | 6306655550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin A. Dettmer, D.d.s. 531 E Roosevelt Rd Ste. 100 Wheaton IL 60187-5583 Ph: (630) 665-5550 | Martin A. Dettmer, D.d.s. 531 E Roosevelt Rd Ste. 100 Wheaton IL 60187-5583 Ph: (630) 665-5550 |
| NPI Number | 1346415783 |
|---|---|
| Provider Enumeration Date | 04/27/2008 |
| Last Update Date | 04/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346415783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19A14036 (Illinois) | Primary |
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