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1467538082
KENNETH S DETTLAFF
LAS VEGAS, NV
NPI
1467538082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NV 4314T)
Enumeration Date
2006-10-27
Last Update Date
2007-07-08
Business Address
Dr. KENNETH S DETTLAFF DMD
1725 E WARM SPRINGS RD STE 2
LAS VEGAS, NV 89119-0421
Phone number: 702-270-8790
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Mailing Address
Dr. KENNETH S DETTLAFF DMD
PO BOX 17179
IRVINE, CA 92623-7179
Phone number: 949-567-3176
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