Individual
DR. DOUGLAS L. SHERAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4120 BARBARA LOOP SE, RIO RANCHO, NM 87124-1000
(505) 892-8086
Mailing address
4120 BARBARA LOOP SE, RIO RANCHO, NM 87124-1000
(505) 892-8086
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1540
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742807354
FEDERAL FID NUMBER
NM
Enumeration date
10/17/2006
Last updated
07/08/2007
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