Individual
CONNOR MICHAEL DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2112 S ATLANTA PL, TULSA, OK 74114-1709
(580) 548-3354
Mailing address
2112 S ATLANTA PL, TULSA, OK 74114-1709
(580) 548-3354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7697
OK
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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