Individual
ALEXANDER DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1711 S COLORADO ST STE D, LOCKHART, TX 78644-4616
(713) 791-1414
Mailing address
4522 ROUNDHILL RD, ALEXANDRIA, VA 22310-2946
(703) 835-1821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36743
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2020
Last updated
05/18/2021
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