DR. Niki J Douros, D.M.D.

NPI #1750545117 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1750545117
Entity Type: Individual
Name: DR. Niki J Douros, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jul 15, 2008
Last Updated: Jul 15, 2008

Practice Location

Address: 444 N MAIN ST
Address 2: #202
City: Glen Ellyn
State: Illinois
ZIP Code: 60137-5118
Phone: (630) 858-1120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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