Individual
DR. DOUGLAS CLARK NIEMI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
47 HIGH COUNTRY LN, TROUTDALE, VA 24378-2255
(276) 677-3571
Mailing address
47 HIGH COUNTRY LN, TROUTDALE, VA 24378-2255
(276) 677-3571
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4683
VA
Other
Enumeration date
03/22/2006
Last updated
07/08/2007
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