Individual
DR. RUSSELL CLIFFORD DOERINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD PC
Contact information
Practice address
4626 WALTON BLVD, WATERFORD, MI 48329-3535
(248) 674-0384
(248) 674-1483
Mailing address
4626 WALTON BLVD, WATERFORD, MI 48329-3535
(248) 674-0384
(248) 674-1483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901009668
MI
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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