Individual
DR. MARK G DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DR
Contact information
Practice address
645 PENN AVE, WEST READING, PA 19611
(610) 374-7657
(610) 374-1656
Mailing address
645 PENN AVE, WEST READING, PA 19611
(610) 374-7657
(610) 374-1656
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS 25315 L
PA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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