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1861430746
MICHAEL SHANNON DAUGHERTY
DOTHAN, AL
NPI
1861430746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: AL Al-4912)
Enumeration Date
2006-06-03
Last Update Date
2011-05-18
Business Address
Dr. MICHAEL SHANNON DAUGHERTY D.M.D.
1805 W MAIN ST SUITE 3
DOTHAN, AL 36301-1343
Phone number: 334-699-3636
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Mailing Address
Dr. MICHAEL SHANNON DAUGHERTY D.M.D.
200 GROVE PARK LN SUITE 600
DOTHAN, AL 36305-5911
Phone number: 334-699-3636
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