DANIEL THOMAS DOHERTY

SAINT LOUIS, MO
NPI1598258501
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  2018019124)
Enumeration Date2018-06-13
Last Update Date2018-06-13
Business Address
DANIEL THOMAS DOHERTY
621 S NEW BALLAS RD # 10
SAINT LOUIS, MO 63141-8232
Phone number: 314-251-5775
Mailing Address
DANIEL THOMAS DOHERTY
621 S NEW BALLAS RD # 10
SAINT LOUIS, MO 63141-8232
Phone number: 314-251-5775
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