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Individual

DOUGLAS MANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
69 DEER HILL AVE, DANBURY, CT 06810-7903
(203) 790-7668
Mailing address
69 DEER HILL AVE, DANBURY, CT 06810-7903
(203) 790-7668

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4364
CT

Other

Enumeration date
07/06/2006
Last updated
07/08/2007
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