Marcia R Dettloff, O.D. Valid NPI
Individual provider · Optometrist · Cary, NC
- NPI
- 1265434617
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 1183 (NC)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-08-15
- Last updated
- 2013-09-20
Practice location
160 Ne Maynard Rd, Suite 110
Cary, NC 27513
(919) 439-7995