Individual
ALLISON DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4757 E GREENWAY RD STE 108, PHOENIX, AZ 85032-8510
(602) 844-9601
(602) 338-9081
Mailing address
20100 N 78TH PL APT 2060, SCOTTSDALE, AZ 85255-3837
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012310
AZ
Other
Enumeration date
11/10/2023
Last updated
12/05/2024
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