Individual
DR. JUSTIN LEE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 GRANNY WHITE PIKE, BRENTWOOD, TN 37027-5744
(615) 221-9000
Mailing address
210 GRANNY WHITE PIKE, BRENTWOOD, TN 37027-5744
(615) 221-9000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4418
TN
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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