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Individual

DR. DOUGLAS ALLEN SOOTIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
19 OLD MAMARONECK RD, SUITE A, WHITE PLAINS, NY 10605-1748
(914) 946-4455
Mailing address
136 S IRVING ST, RIDGEWOOD, NJ 07450-4548
(201) 670-9286
(201) 612-7555

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28883
NY

Other

Enumeration date
10/19/2005
Last updated
07/08/2007
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