Individual
DR. BRENDAN DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10040 WOODLAND DR, LENEXA, KS 66220-3802
(913) 768-6800
Mailing address
9330 LAMAR AVE, OVERLAND PARK, KS 66207-2457
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61709
KS
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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