Individual
MICHAEL A DOUMOURAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
47 OAK ST, STAMFORD, CT 06905-5316
(203) 325-4700
(203) 327-7832
Mailing address
47 OAK ST, STAMFORD, CT 06905-5316
(203) 325-4700
(203) 327-7832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009767
CT
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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