Individual
DR. VICTORIA QUINCY DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
950 FRANCIS PL STE 305, SAINT LOUIS, MO 63105-2465
(314) 862-7844
Mailing address
950 FRANCIS PL STE 305, SAINT LOUIS, MO 63105-2465
(314) 862-7844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2005040680
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431578311
TAX ID
MO
Enumeration date
07/28/2006
Last updated
09/22/2015
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