David Wood Douglas, D.D.S.
NPI #1376575076 in South Bend, Indiana
Provider Information
- NPI Number
- 1376575076
- Entity Type
- Individual
- Name
- David Wood Douglas, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jul 6, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 17455 DOUGLAS RD
- Address 2
- SUITE 1
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46635-1732
- Phone
- (574) 243-5586
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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