Stuart R Douglas Dmd Pllc

NPI #1407941685 in Cortland, New York

Provider Information

NPI Number: 1407941685
Entity Type: Organization
Organization Name: Stuart R Douglas Dmd Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 139 NORTH MAIN ST
City: Cortland
State: New York
ZIP Code: 13045
Phone: (607) 753-0602

Authorized Official

Name: STUART R DOUGLAS, DMD
Title: OWNER DENTIST
Phone: (607) 753-0602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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