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1285147694
MARK R DOHERTY DDS PC
PRYOR, OK
NPI
1285147694
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Entity Type
Organization
Authorized Contact
MARK R DOHERTY
Owner
918-344-2780
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2017-11-07
Last Update Date
2019-07-31
Business Address
MARK R DOHERTY DDS PC
26 SURFSIDE RD
PRYOR, OK 74361-3306
Phone number: 918-344-2780
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Mailing Address
MARK R DOHERTY DDS PC
26 SURFSIDE RD
PRYOR, OK 74361-3306
Phone number: 918-344-2780
Copy
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