Organization
DOUGLAS J. DEUCHAR, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS J. DEUCHAR J DEUCHAR D.M.D. (OWNER)
(770) 792-9190
Entity
Organization
Contact information
Practice address
3903 JILES RD., BLDG. 100, STE.111, KENNESAW, GA 30144
(770) 792-9190
Mailing address
3903 JILES RD., BLDG. 100, STE.111, KENNESAW, GA 30144
(770) 792-9190
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011540
GA
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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