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Dr. Douglas I Doben, D.M.D.

Dentist, Periodontics in Beverly, MA. Individual provider (NPI-1).

NPI number1083882005
StatusActive
Last updated in NPPESFeb 12, 2008

Details

NPI
1083882005
Entity type
Individual (NPI-1)
Name
Dr. Douglas I Doben
Credential
D.M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 12, 2008
Last updated
Feb 12, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics11909MAYes

Practice location

56 Dodge St
Perionorth
Beverly, MA 01915-1786

Phone 978-922-7666 · Fax 978-921-1714

Mailing address

56 Dodge St
Perionorth
Beverly, MA 01915-1786

Phone 978-922-7666 · Fax 978-921-1714

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