Individual
DR. MICHAEL D DOUGHERTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1550 S POTOMAC ST, SUITE 220, AURORA, CO 80012-5455
(303) 369-1069
(303) 369-1063
Mailing address
1550 S POTOMAC ST, SUITE 220, AURORA, CO 80012-5455
(303) 369-1069
(303) 369-1063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
350
CO
Other
Enumeration date
03/25/2006
Last updated
07/08/2007
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