Organization
JOHN L DAUGHERTY DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L DAUGHERTY IV DDS (OWNER)
(614) 237-1008
Entity
Organization
Contact information
Practice address
2691 E MAIN ST, BEXLEY, OH 43209-2535
(614) 237-1008
(614) 237-3057
Mailing address
2691 E MAIN ST, BEXLEY, OH 43209-2535
(614) 237-1008
(614) 237-3057
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30022121
OH
Other
Enumeration date
12/15/2006
Last updated
02/26/2012
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