Individual
DR. DARRELL DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1601 S SANGRE RD, STILLWATER, OK 74074-1847
(405) 377-4848
(405) 377-4859
Mailing address
1601 S SANGRE RD, STILLWATER, OK 74074-1847
(405) 377-4848
(405) 377-4859
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5373
OK
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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