Organization
STILLWATER ENDODONTICS DARRELL W. DAUGHERTY, DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL W DAUGHERTY DDS (OWNER)
(405) 377-4848
Entity
Organization
Contact information
Practice address
1601 S SANGRE RD, STILLWATER, OK 74074-1847
(405) 377-4848
(405) 377-4859
Mailing address
1601 S SANGRE RD, STILLWATER, OK 74074-1847
(405) 377-4848
(405) 377-4859
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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