Individual provider · Type 1 NPI
Paul E, Dougherty, DDS
General Practice Dentistry · La Jolla, CA
NPI number
1700890902
Active
Practice location
850 Prospect St Ste 6
La Jolla, CA 92037-4208
Fax (858) 454-1069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 35249 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1700890902
Paul E, Dougherty, DDS's National Provider Identifier is 1700890902, issued on Jul 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in La Jolla, CA. The record was last updated on Jul 8, 2007.