DAVID WOOD DOUGLAS

SOUTH BEND, IN
NPI1376575076
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12007853)
Enumeration Date2006-07-06
Last Update Date2007-07-08
Business Address
-- DAVID WOOD DOUGLAS D.D.S.
17455 DOUGLAS RD SUITE 1
SOUTH BEND, IN 46635-1732
Phone number: 574-243-5586
Mailing Address
-- DAVID WOOD DOUGLAS D.D.S.
17455 DOUGLAS RD SUITE 1
SOUTH BEND, IN 46635-1732
Phone number: 574-243-5586
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