Individual
DR. DOUGLAS JOHN TARDUGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
702 N WASHINGTON STREET, ROME, NY 13440
(315) 337-5880
(315) 339-6729
Mailing address
702 N WASHINGTON STREET, ROME, NY 13440
(315) 337-5880
(315) 339-6729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0404051
NY
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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