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1013055300
RICK M DOUGHERTY
GLENDALE, AZ
NPI
1013055300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D3374)
Enumeration Date
2007-02-01
Last Update Date
2012-10-01
Business Address
Dr. RICK M DOUGHERTY DDS, ABGD, NDBA
18301 N 79TH AVE G-185
GLENDALE, AZ 85308-8463
Phone number: 623-931-9197
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Mailing Address
Dr. RICK M DOUGHERTY DDS, ABGD, NDBA
18301 N 79TH AVE G-185
GLENDALE, AZ 85308-8463
Phone number: 623-931-9197
Copy
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