DAN JOSEPH DETTMANN

CORVALLIS, OR
NPI1801034335
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122400000X Denturist
(Licence: OR  DT-DO-433361)
Enumeration Date2009-01-21
Last Update Date2009-01-21
Business Address
-- DAN JOSEPH DETTMANN L.D.
33894 SE EASTGATE CIR
CORVALLIS, OR 97333-2248
Phone number: 541-754-4901
Mailing Address
-- DAN JOSEPH DETTMANN L.D.
261 BODEN ST
JUNCTION CITY, OR 97448-1525
Phone number: 541-913-5609
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