JEFF M DOUGHERTY

O FALLON, MO
NPI1598828030
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  2004020376)
Enumeration Date2006-12-18
Last Update Date2007-07-08
Business Address
Dr. JEFF M DOUGHERTY D.M.D
2726 HIGHWAY K
O FALLON, MO 63368-7884
Phone number: 636-272-5015
Mailing Address
Dr. JEFF M DOUGHERTY D.M.D
643 AVONDALE DR
SAINT PETERS, MO 63376-7711
Phone number: 636-294-3090
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