DR. Tracey Lamar Douglas, DMD
NPI #1881751584 in Madison, Mississippi
Provider Information
- NPI Number
- 1881751584
- Entity Type
- Individual
- Name
- DR. Tracey Lamar Douglas, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Dec 3, 2009
Practice Location
- Address
- 204 WATERFORD SQ
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6856
- Phone
- (601) 856-3182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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