Doug Dammrose, M.D., D.D.S.

NPI #1295931665 in Caldwell, Idaho

Provider Information

NPI Number: 1295931665
Entity Type: Individual
Name: Doug Dammrose, M.D., D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D., D.D.S.
Enumeration Date: Jun 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1918 EVERETT ST
City: Caldwell
State: Idaho
ZIP Code: 83605-5052
Phone: (208) 331-8846

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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