Individual
DR. JOHN BRADBURY DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6622 N WAYNE RD, WESTLAND, MI 48185-7006
(734) 326-2880
(734) 326-2881
Mailing address
6622 N WAYNE RD, WESTLAND, MI 48185-7006
(734) 326-2880
(734) 326-2881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11033
MI
Other
Enumeration date
07/27/2006
Last updated
10/05/2015
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