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1144388398
MARK S DOUGLAS
ELK GROVE, CA
NPI
1144388398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 30536)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
Dr. MARK S DOUGLAS DDS, MSD
4827 LAGUNA PARK DR SUITE 5
ELK GROVE, CA 95758-5159
Phone number: 916-392-1885
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Mailing Address
Dr. MARK S DOUGLAS DDS, MSD
4827 LAGUNA PARK DR SUITE 5
ELK GROVE, CA 95758-5159
Phone number: 916-392-1885
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