| Douglas E Duval, DDS, PA | |
|
1142 Somerville St Manchester NH 03103-2847 | |
| (603) 622-9225 | |
| (603) 624-1695 |
| Full Name | Douglas E Duval, DDS, PA |
|---|---|
| Speciality | Dentist |
| Location | 1142 Somerville St, Manchester, New Hampshire |
| Authorized Official Name and Position | Douglas E Duval (PRESIDENT) |
| Authorized Official Contact | 6036229225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas E Duval, DDS, PA 20 Foxcross Cir Concord NH 03301-6920 Ph: (603) 226-4649 | Douglas E Duval, DDS, PA 1142 Somerville St Manchester NH 03103-2847 Ph: (603) 622-9225 |
| NPI Number | 1134257447 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134257447 | NPI | - | NPPES |
| 30011476 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2041 (New Hampshire) | Primary |
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