Douglas Dentistry P a

NPI #1801358395 in Trinity, Florida

Provider Information

NPI Number
1801358395
Entity Type
Organization
Organization Name
Douglas Dentistry P a
Subpart
Yes (part of a larger organization)
Parent Organization
DOUGLAS DENTISTRY P A
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 3, 2019
Last Updated
Sep 4, 2019

Practice Location

Address
1821 WELLNESS LN BLDG 3
State
Florida
ZIP Code
34655-5359
Phone
(727) 372-3200

Authorized Official

Name
SHAWN DOUGLAS, DDS
Title
PRESIDENT
Phone
(727) 372-3200

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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