DR. Thomas R Douglas, D.D.S.

NPI #1023114071 in Nesconset, New York

Provider Information

NPI Number
1023114071
Entity Type
Individual
Name
DR. Thomas R Douglas, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Sep 16, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
308 GIBBS POND RD
ZIP Code
11767-2200
Phone
(631) 585-3130

Specialties & Taxonomy Codes

Specialty
Dentist

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