Michael Dennis Doherty, D.D.S.

NPI #1114097482 in Carbondale, Colorado

Provider Information

NPI Number
1114097482
Entity Type
Individual
Name
Michael Dennis Doherty, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 8, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
580 MAIN ST
Address 2
SUITE 200
ZIP Code
81623-2072
Phone
(970) 963-4882

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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