Individual
DR. MICHAEL JOHN DOUCET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
419 SAN PABLO AVE, ALBANY, CA 94706
(510) 526-8000
(510) 526-5114
Mailing address
419 SAN PABLO AVE, ALBANY, CA 94706
(510) 526-8000
(510) 526-5114
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
35099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B35099-01
—
CA
Enumeration date
09/27/2006
Last updated
01/07/2011
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