MICHAEL REARDON DOHERTY

SAINT LOUIS, MO
NPI1518371020
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MO  2014016792)
Enumeration Date2014-06-12
Last Update Date2014-06-12
Business Address
DR. MICHAEL REARDON DOHERTY D.D.S.
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6930
Mailing Address
DR. MICHAEL REARDON DOHERTY D.D.S.
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6930