Individual
DR. CHARMEN W. DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
146 HADDONFIELD BERLIN RD S, SUITE#302, GIBBSBORO, NJ 08026-1018
(856) 346-8900
(856) 346-8866
Mailing address
146 HADDONFIELD-BERLIN ROAD, SUITE#302, GIBBSBORO, NJ 08026
(856) 346-8900
(856) 346-8866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01738100
NJ
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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