DR. George Michael Dougherty III, DDS

NPI #1609178789 in Glendale, Arizona

Provider Information

NPI Number
1609178789
Entity Type
Individual
Name
DR. George Michael Dougherty III, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Nov 23, 2010
Last Updated
Nov 23, 2010

Practice Location

Address
19369 N. 59TH AVENUE
Address 2
DENTAL INSTITUTE
State
Arizona
ZIP Code
85308
Phone
(623) 806-7063

Specialties & Taxonomy Codes

Specialty
Dentist

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