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DR. DOUGLAS RAY DENISON DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1952469926

Individual Registrant:
DR. DOUGLAS RAY DENISON DMD
Gender: M
Sole Proprietor

Location and contact information for practice:
2430 S ATLANTIC AVE SUITE D. DAYTONA BEACH SHORES, FL 32118-5437 US
Tel: 386-255-1633  Fax: 386-253-4994

Contact information for business:
2430 S ATLANTIC AVE SUITE D. DAYTONA BEACH SHORES, FL 32118-5437 US
Tel: 386-255-1633  Fax: 386-253-4994

Registration Information:
NPI: 1952469926
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
FLDN11797

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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