DR. Daniel E. Douglas, D.D.S.

NPI #1396830410 in Storm Lake, Iowa

Provider Information

NPI Number: 1396830410
Entity Type: Individual
Name: DR. Daniel E. Douglas, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 415 W 5TH ST
City: Storm Lake
State: Iowa
ZIP Code: 50588-1725
Phone: (712) 732-2277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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