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Individual

DR. DOUGLAS DINGWERTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.,M.D.

Contact information

Practice address
4015 WORTH ST, DALLAS, TX 75246-1608
(214) 823-5444
(214) 823-1581
Mailing address
4015 WORTH ST, DALLAS, TX 75246-1608
(214) 823-5444
(214) 823-1581

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
18174
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
041741202
TX
Enumeration date
08/17/2006
Last updated
07/09/2007
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