Individual
CLEYDES YSABEL DOUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5481 N UNIVERSITY DRIVE, 103, CORAL SPRINGS, FL 33067-7456
(954) 575-0880
(954) 575-0890
Mailing address
844 FALLING WATER RD, WESTON, FL 33326
(321) 961-6102
(954) 575-0890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 19155
FL
Other
Enumeration date
09/07/2010
Last updated
09/14/2016
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