DR. Paul E, Dougherty, D.D.S.
NPI #1700890902 in La Jolla, California
Provider Information
- NPI Number
- 1700890902
- Entity Type
- Individual
- Name
- DR. Paul E, Dougherty, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jul 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 850 PROSPECT ST STE 6
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-4208
- Phone
- (858) 454-2656
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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