John Michael Daugherty, D.D.S.
NPI #1386732501 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1386732501
- Entity Type
- Individual
- Name
- John Michael Daugherty, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8900 PENN AVE S
- Address 2
- SUITE 202
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55431-2068
- Phone
- (952) 888-1861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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