Individual
DR. STEFANIE BROOKE DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.D.
Contact information
Practice address
2901 DOUGHERTY FERRY RD, SUITE 301, SAINT LOUIS, MO 63122-3368
(636) 825-1000
(636) 825-1040
Mailing address
2901 DOUGHERTY FERRY RD, SUITE 301, SAINT LOUIS, MO 63122-3368
(636) 825-1000
(636) 825-1040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2004016350
MO
Other
Enumeration date
12/22/2005
Last updated
10/29/2013
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