DR. Douglas Daniel Fogel, D.D.S.

NPI #1245356997 in Southfield, Michigan

Provider Information

NPI Number
1245356997
Entity Type
Individual
Name
DR. Douglas Daniel Fogel, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Mar 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
20100 W 12 MILE RD
ZIP Code
48076-2437
Phone
(248) 353-5010

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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