Dougherty, Mark

Dougherty, Mark is an individual health care provider with primary practice located at 17300 Yorba Linda Blvd Suite H, Yorba Linda CA 92886-3810. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Dougherty, Mark can be contacted via phone (714) 993-1194.

Contact Information

Primary practice address
17300 Yorba Linda Blvd Suite H Yorba Linda CA 92886-3810
Phone: (714) 993-1194
Fax: (714) 524-0397
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 36359 California

Profile Details

NPI number 1518053768
LBN Legal business name Dougherty, Mark
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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