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1417002155
MICHELLE CHRISTINA DOUGLAS
MARTINSBURG, WV
NPI
1417002155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NJ 22DI02320100)
Enumeration Date
2007-01-24
Last Update Date
2022-07-21
Business Address
Dr. MICHELLE CHRISTINA DOUGLAS DMD
315 PENDLETON DR
MARTINSBURG, WV 25401-2920
Phone number: 304-267-7815
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Mailing Address
Dr. MICHELLE CHRISTINA DOUGLAS DMD
315 PENDLETON DR
MARTINSBURG, WV 25401-2920
Phone number: 304-267-7815
Copy
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