David Rodney Douglas, DDS

NPI #1891853081 in Hill Afb, Utah

Provider Information

NPI Number: 1891853081
Entity Type: Individual
Name: David Rodney Douglas, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7321 11TH STREET
Address 2: BLDG 570
City: Hill Afb
State: Utah
ZIP Code: 84056
Phone: (801) 777-7011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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