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
State
Indiana
ZIP Code
46635-1732
Phone
(574) 243-5586

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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