Individual
DR. NATALIA VALDERRAMA DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
903 JORDAN BLASS DR STE 102, MELBOURNE, FL 32940-1325
(321) 544-4127
Mailing address
976 WILDWOOD DR, MELBOURNE, FL 32940-1506
(904) 434-7783
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN19651
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN19651
FL
Other
Enumeration date
08/14/2012
Last updated
07/28/2015
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