Individual provider · Type 1 NPI
Harry L. Dougherty Jr., DDS, M.S.
Orthodontics and Dentofacial Orthopedics Dentistry · Sherman Oaks, CA
Practice location
4955 Van Nuys Blvd, Suite 606
Sherman Oaks, CA 91403-1801
Fax (818) 986-6244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 33711 (CA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1417005083
Harry L. Dougherty Jr., DDS, M.S.'s National Provider Identifier is 1417005083, issued on Jan 8, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Sherman Oaks, CA. The record was last updated on Jul 8, 2007.