Individual
DR. SHAUN PATRICK DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
711 LINCOLN WAY E, MASSILLON, OH 44646-6829
(330) 833-4746
(330) 832-9928
Mailing address
3200 EDINBURG AVE NW, CANTON, OH 44708-1159
(330) 479-0810
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21964
OH
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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