Individual
DR. DANIEL E. DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
415 W 5TH ST, STORM LAKE, IA 50588-1725
(712) 732-2277
Mailing address
415 W 5TH ST, STORM LAKE, IA 50588-1725
(712) 732-2277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6969
IA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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