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DR. DOUGLAS MICHAEL ADEL D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1508969932

Individual Registrant:
DR. DOUGLAS MICHAEL ADEL D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
14211 N.W. 150TH AVE  ALACHUA, FL 32615-2047 US
Tel: 386-462-4635  Fax: 386-462-3009

Contact information for business:
14211 N.W. 150TH AVE P.O. BOX 2047 ALACHUA, FL 32616-2047 US
Tel: 386-462-4635  Fax: 386-462-3009

Registration Information:
NPI: 1508969932
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
FLDN-11414

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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