Individual
WILLIAM JOSEPH DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3784 DIX HWY, LINCOLN PARK, MI 48146-3881
(313) 388-2400
(313) 386-9550
Mailing address
3784 DIX TOLEDO RD., LINCOLN PARK, MI 48146
(313) 388-2400
(313) 386-9550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020982
MI
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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