Individual
DR. JAMES ALVIN DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
820 E COLFAX AVE, SOUTH BEND, IN 46617-2804
(574) 289-5776
(574) 289-5777
Mailing address
820 E COLFAX AVE, SOUTH BEND, IN 46617-2804
(574) 289-5776
(574) 289-5777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12006702A
IN
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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