Individual
DR. DOUGLAS D DURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
51 GOODER SIMPSON BOULEVARD NE, SUITE A, PIEDMONT, OK 73078-5931
(405) 373-2119
Mailing address
51 GOODER SIMPSON BOULEVARD NE, SUITE A, PIEDMONT, OK 73078-5931
(405) 373-2119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5806
OK
Other
Enumeration date
09/13/2006
Last updated
07/09/2007
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