Individual
DOUGLAS ANDREW FLORENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
417 GRAND PARK DR STE 109, PARKERSBURG, WV 26105-4049
(304) 422-4455
Mailing address
417 GRAND PARK DR STE 109, PARKERSBURG, WV 26105-4049
(304) 422-4455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3450
WV
Other
Enumeration date
07/26/2006
Last updated
06/05/2014
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