| Mark R Doherty Dds Pc | |
|
26 Surfside Rd Pryor OK 74361-3306 | |
| (918) 344-2780 | |
| Not Available |
| Full Name | Mark R Doherty Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 26 Surfside Rd, Pryor, Oklahoma |
| Authorized Official Name and Position | Mark R Doherty (OWNER) |
| Authorized Official Contact | 9183442780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Doherty Dds Pc 26 Surfside Rd Pryor OK 74361-3306 Ph: (918) 344-2780 | Mark R Doherty Dds Pc 26 Surfside Rd Pryor OK 74361-3306 Ph: (918) 344-2780 |
| NPI Number | 1285147694 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 07/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285147694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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