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1003874066
CARLA DAUGHERTY
ST LOUIS, MO
NPI
1003874066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2003002706)
Enumeration Date
2006-05-01
Last Update Date
2013-02-04
Business Address
Ms. CARLA DAUGHERTY DDS
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112-4265
Phone number: 314-367-5820
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Mailing Address
Ms. CARLA DAUGHERTY DDS
5471 DR MARTIN LUTHER KING DR
ST LOUIS, MO 63112-4265
Phone number: 314-367-5820
Copy
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