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Individual

DR. DOUGLAS G CHASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
868 2ND ST, SANTA ROSA, CA 95404-4610
(707) 595-4188
(707) 595-5658
Mailing address
868 2ND ST, SANTA ROSA, CA 95404-4610
(707) 595-4188
(707) 595-5658

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28291
CA

Other

Enumeration date
03/27/2007
Last updated
06/14/2016
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