Individual
DR. TIMOTHY C. DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4801 MANSLICK RD, LOUISVILLE, KY 40216-4097
(502) 366-0737
(502) 366-6299
Mailing address
4801 MANSLICK RD, LOUISVILLE, KY 40216-4097
(502) 366-0737
(502) 366-6299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5798
KY
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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