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1649214248
DOUGLAS NEIL WADE
FORT IRWIN, CA
NPI
1649214248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 37033)
Enumeration Date
2006-06-15
Last Update Date
2007-07-08
Business Address
Dr. DOUGLAS NEIL WADE DDS
4TH & INNER LOOP ROAD BLDG. 171,
FORT IRWIN, CA 92310-5076
Phone number: 760-380-5733
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Mailing Address
Dr. DOUGLAS NEIL WADE DDS
BLDG. 171, 4TH & INNER LOOP ROAD
FORT IRWIN, CA 92310-5076
Phone number: 760-380-5733
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