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Individual

DR. DOUGLAS ALLEN TRIBBLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
2481 DEL PRADO BLVD N, CAPE CORAL, FL 33909-4002
(760) 338-8011
Mailing address
1963 NW 136TH AVE APT 338, SUNRISE, FL 33323-5355
(760) 338-8011

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
60612
CA
1223P0700X
Prosthodontics
7187
NV
1223P0700X
Prosthodontics
Primary
DN24541
FL

Other

Enumeration date
09/15/2010
Last updated
12/27/2020
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