Individual
DR. DOUGLAS VAUGHN SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
330 N SANGAMON AVE, GIBSON CITY, IL 60936-1256
(217) 784-5133
(217) 784-8460
Mailing address
330 N SANGAMON AVE, GIBSON CITY, IL 60936-1256
(217) 784-5133
(217) 784-8460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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