Individual
MS. ALLISON DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
295 WESTERN AVE, LYNN, MA 01904-3024
(781) 598-2100
(781) 599-0514
Mailing address
295 WESTERN AVE, LYNN, MA 01904-3024
(781) 598-2100
(781) 599-0514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855214
MA
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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