DR. Rick M Dougherty, DDS, ABGD, NDBA

NPI #1013055300 in Glendale, Arizona

Provider Information

NPI Number
1013055300
Entity Type
Individual
Name
DR. Rick M Dougherty, DDS, ABGD, NDBA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS, ABGD, NDBA
Enumeration Date
Feb 1, 2007
Last Updated
Oct 1, 2012

Practice Location

Address
18301 N 79TH AVE
Address 2
G-185
State
Arizona
ZIP Code
85308-8463
Phone
(623) 931-9197

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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