Individual
DR. DOUGLAS S TRAUB JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
454 PROSPECT ST, TORRINGTON, CT 06790-4937
(860) 482-8750
Mailing address
610 E WAKEFIELD BLVD, WINSTED, CT 06098-2914
(860) 379-4151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
005414
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DO 5414 SUFFIX TR
—
CT
Enumeration date
06/27/2005
Last updated
07/08/2007
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