Roni Dawn Douglas, DDS Valid NPI
Individual provider · General Practice Dentistry · San Rafael, CA
- NPI
- 1598873432
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 31030 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-08-29
- Last updated
- 2007-07-08
Practice location
920 Northgate Dr, Suite 4
San Rafael, CA 94903-3429
(415) 491-1662