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Individual

DR. DOUGLAS M ARENDT

Active
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Individual

DR. DOUGLAS M ARENDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
0401004979
VA
291U00000X
Clinical Medical Laboratory
49D1041147
VA

Other

Enumeration date
08/09/2005
Last updated
08/18/2015
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