MARK ROBERT DOHERTY

PRYOR, OK
NPI1952400079
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: OK  5274)
Enumeration Date2006-09-22
Last Update Date2019-07-31
Business Address
DR. MARK ROBERT DOHERTY DDS
26 SURFSIDE RD
PRYOR, OK 74361-3306
Phone number: 918-344-2780
Mailing Address
DR. MARK ROBERT DOHERTY DDS
26 SURFSIDE RD
PRYOR, OK 74361-3306
Phone number: 918-344-2780