Individual
DR. DOUGLAS JAMES RACICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6411 N OVERLOOK RD, NORTHPORT, MI 49670-9437
(231) 499-2927
Mailing address
6411 N OVERLOOK RD, NORTHPORT, MI 49670-9437
(231) 499-2927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017290
MI
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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