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1558586040
DAVID DETTERLINE
LAFAYETTE, IN
NPI
1558586040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12010870A)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
Dr. DAVID DETTERLINE DDS
103 FARABEE DR N SUITE C
LAFAYETTE, IN 47905-5915
Phone number: 765-447-7200
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Mailing Address
Dr. DAVID DETTERLINE DDS
103 FARABEE DR N SUITE C
LAFAYETTE, IN 47905-5915
Phone number: 765-447-7200
Copy
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