DR. Douglas Clark Hannah, DDS
NPI #1184707580 in Fairmont, West Virginia
Provider Information
- NPI Number
- 1184707580
- Entity Type
- Individual
- Name
- DR. Douglas Clark Hannah, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1520 COUNTRY CLUB RD
- City
- Fairmont
- State
- West Virginia
- ZIP Code
- 26554
- Phone
- (304) 363-9160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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