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Individual
DR. THOMAS R DOUGLAS
Active
Individual
DR. THOMAS R DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
NJ22D102047200
NJ
122300000X
Dentist
Primary
NY0477140
NY
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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