Individual
DR. MICHAEL B DOUGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1217 S 31ST ST, TEMPLE, TX 76504-6703
(254) 774-9552
(254) 774-9464
Mailing address
1217 S 31ST ST, TEMPLE, TX 76504-6703
(254) 774-9552
(254) 774-9464
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
17705
TX
Other
Enumeration date
05/31/2005
Last updated
10/25/2016
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