Individual
JOANNA M. DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, DDS
Contact information
Practice address
13123 E 16TH AVE # B-240, AURORA, CO 80045-7106
(720) 777-6788
Mailing address
7327 S PLATTE RIVER PKWY UNIT 205, LITTLETON, CO 80120-2996
(860) 712-7311
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
AD.0000520
CO
1223P0221X
Pediatric Dentistry
P07768
CT
Other
Enumeration date
12/26/2006
Last updated
11/29/2018
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