Organization
DOUGHERTY DENTISTRY, PLLC
Active
Other names
Rolling Oaks Dental, Dougherty Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE MICHAEL DOUGHERTY D.M.D. (PRESIDENT/CEO)
(210) 880-2229
Entity
Organization
Contact information
Practice address
19243 FM 2252 STE 200, GARDEN RIDGE, TX 78266-2586
(210) 880-2229
Mailing address
19243 FM 2252 STE 200, SAN ANTONIO, TX 78266-2586
(210) 880-2229
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
07/05/2025
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