Individual
DR. KAREN RENEE DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4175 S ALAMO AVE, TUCSON, AZ 85707-4402
(520) 228-2650
Mailing address
4175 S ALAMO AVE, TUCSON, AZ 85707-4402
(520) 228-2650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-019742
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31-1358157
FEDERAL ID #
OH
Enumeration date
01/30/2007
Last updated
03/12/2013
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