Organization
WILLIAM J DOHERTY, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J DOHERTY DDS (OWNER)
(517) 423-4050
Entity
Organization
Contact information
Practice address
120 HERRICK PARK DR, TECUMSEH, MI 49286-1422
(517) 423-4050
(517) 424-6363
Mailing address
120 HERRICK PARK DR, TECUMSEH, MI 49286-1422
(517) 423-4050
(517) 424-6363
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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