Dennis Dettmann, O.d. S.c.

NPI 1265426217 - Optometrist - 152W00000X

NPI Details
NPI 1265426217
Enumeration Date 09/06/2005
Last Updated 01/20/2016
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DENNIS E DENNIS
Position OWNER
Phone (630) 257-6493
Fax (630) 243-6293
Practice Location
5039 MAIN ST
LISLE IL, 60532-2246, US
Phone (630) 257-6493
Fax (630) 243-6293
Business Location
5039 MAIN ST
LISLE IL, 60532-2246, US
Phone (630) 257-6493
Fax (630) 243-6293
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046007054
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According to our database, Dennis Dettmann, O.d. S.c. NPI is 1265426217, taxonomy code is 152W00000X and license number is 046007054, license state is located at Illinois. Dennis Dettmann, O.d. S.c. physically located at 5039 Main St, Lisle IL, 60532-2246. NPI Number 1033115704 has the healthcare provider type.

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1265426217 NPI number is provided on an as is basis without warranty of any kind. 1265426217 is maintained by the National Plan & Provider Enumeration System. The contents of Dennis Dettmann, O.d. S.c. are for informational purposes only.