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DR. GEORGE MICHAEL DOUGHERTY III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
19369 N. 59TH AVENUE, DENTAL INSTITUTE, GLENDALE, AZ 85308
(623) 806-7063
(623) 806-7027
Mailing address
19369 N. 59TH AVENUE, DENTAL INSTITUTE, GLENDALE, AZ 85308
(623) 806-7063
(623) 806-7027

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3967
AZ

Other

Enumeration date
11/23/2010
Last updated
11/23/2010
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