Individual
DR. RICK M DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, ABGD, NDBA
Contact information
Practice address
18301 N 79TH AVE, G-185, GLENDALE, AZ 85308-8463
(623) 931-9197
(623) 937-4385
Mailing address
18301 N 79TH AVE, G-185, GLENDALE, AZ 85308-8463
(623) 931-9197
(623) 937-4385
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3374
AZ
Other
Enumeration date
02/01/2007
Last updated
10/01/2012
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