Individual
MEGAN DOUGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1149 BOUGHTON ST BLDG B, WATERTOWN, WI 53094-3104
(920) 261-0495
Mailing address
W286S4560 WOODS RD, WAUKESHA, WI 53189-9050
(262) 894-6160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001167-15
WI
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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