DR. Cielo Constanza Doherty, DDS
NPI #1164410882 in Shiprock, New Mexico
Provider Information
- NPI Number
- 1164410882
- Entity Type
- Individual
- Name
- DR. Cielo Constanza Doherty, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS
- Enumeration Date
- Oct 6, 2005
- Last Updated
- Sep 18, 2007
Practice Location
- Address
- US HWY 491 NORTH
- City
- Shiprock
- State
- New Mexico
- ZIP Code
- 87420
- Phone
- (505) 368-6401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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