Individual
DR. DOUGLAS FOERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3250 NESCONSET HWY, SETAUKET, NY 11733-3320
(631) 689-9719
(631) 689-9730
Mailing address
8 DRIFTWOOD LN, SAINT JAMES, NY 11780-4003
(631) 689-9719
(631) 689-9730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
NY031789
NY
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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