Organization
DOUGLAS D. FOGEL D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS D. FOGEL D.D.S. (PRESIDENT)
(248) 353-5010
Entity
Organization
Contact information
Practice address
20100 W 12 MILE RD, SOUTHFIELD, MI 48076-2437
(248) 353-5010
(248) 353-5005
Mailing address
20100 W 12 MILE RD, SOUTHFIELD, MI 48076-2437
(248) 353-5010
(248) 353-5005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14207
MI
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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