Individual
DR. KEVIN PAUL DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
475 SHUNPIKE RD, CHATHAM, NJ 07928-1528
(973) 377-3000
(973) 377-0909
Mailing address
475 SHUNPIKE RD, CHATHAM, NJ 07928-1528
(973) 377-3000
(973) 377-0909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15205
NJ
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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