Organization
ROBERT J DOHERTY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J DOHERTY DDS (PRESIDENT)
(914) 948-3883
Entity
Organization
Contact information
Practice address
280 MAMARONECK AVE, SUITE #210, WHITE PLAINS, NY 10605-1438
(914) 948-3883
Mailing address
280 MAMARONECK AVE, SUITE #210, WHITE PLAINS, NY 10605-1438
(914) 948-3883
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
028025
NY
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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