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Individual
DR. DOUGLAS MARK BARNES
Active
Individual
DR. DOUGLAS MARK BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8625
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8625
MARYLAND DENTAL LICENSE REGISTRATION
MD
01
—
AB2466325
CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE
MD
Enumeration date
07/08/2011
Last updated
07/08/2011
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