DOUGLAS KEEN TAVENNER

FREDERICK, MD
NPI1174678262
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: MD  5112)
Enumeration Date2007-01-25
Last Update Date2007-07-08
Business Address
DR. DOUGLAS KEEN TAVENNER D.D.S.
20 MOUNTAIN GATE DRIVE
FREDERICK, MD 21703-6098
Phone number: 301-662-0100
Mailing Address
DR. DOUGLAS KEEN TAVENNER D.D.S.
20 MOUNTAIN GATE DRIVE
FREDERICK, MD 21703-6098
Phone number: 301-662-0100
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