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1184601965
STEFANIE BROOKE DOUGHERTY
SAINT LOUIS, MO
NPI
1184601965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2004016350)
Enumeration Date
2005-12-22
Last Update Date
2013-10-29
Business Address
Dr. STEFANIE BROOKE DOUGHERTY D.M.D., M.S.D.
2901 DOUGHERTY FERRY RD SUITE 301
SAINT LOUIS, MO 63122-3368
Phone number: 636-825-1000
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Mailing Address
Dr. STEFANIE BROOKE DOUGHERTY D.M.D., M.S.D.
2901 DOUGHERTY FERRY RD SUITE 301
SAINT LOUIS, MO 63122-3368
Phone number: 636-825-1000
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