Organization
DOUGLAS A FLORENCE DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ANDREW FLORENCE DDS (OWNER)
(304) 422-4455
Entity
Organization
Contact information
Practice address
417 GRAND PARK DR, SUITES 109, PARKERSBURG, WV 26105-4049
(304) 422-4455
Mailing address
417 GRAND PARK DR, SUITES 109, PARKERSBURG, WV 26105-4049
(304) 422-4455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3450
WV
Other
Enumeration date
09/16/2010
Last updated
06/05/2014
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