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Organization
DOUGHERTY DENTISTRY, PLLC
Active
Organization
DOUGHERTY DENTISTRY, PLLC
Active
Other names
Rolling Oaks Dental, Dougherty Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE MICHAEL DOUGHERTY D.M.D. (PRESIDENT/CEO)
(210) 880-2229
Entity
Organization
Contact information
Practice address
19243 FM 2252 STE 200, GARDEN RIDGE, TX 78266-2586
(210) 880-2229
Mailing address
19243 FM 2252 STE 200, SAN ANTONIO, TX 78266-2586
(210) 880-2229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
07/05/2025
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