Individual
DR. DOREEN CLOUGHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
207 HALLOCK RD, SUITE 5, STONY BROOK, NY 11790-3033
(631) 751-7645
(631) 751-4170
Mailing address
207 HALLOCK RD, SUITE 5, STONY BROOK, NY 11790-3033
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047430
NY
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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