Individual
ELIZABETH FRANCES DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10602 CHAPMAN AVE STE 200, GARDEN GROVE, CA 92840-3147
(714) 638-7637
Mailing address
1101 CHERRY ST, SANTA ANA, CA 92705-6709
(714) 423-3468
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
30500
CA
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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