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Organization
MCGOUGH & MCGOUGH, P.C.
Active
Organization
MCGOUGH & MCGOUGH, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MCGOUGH D.D.S. (PRESIDENT)
(903) 758-8770
Entity
Organization
Contact information
Practice address
2392 H G MOSLEY PKWY, LONGVIEW, TX 75604-3661
(903) 758-8770
(903) 758-3334
Mailing address
2392 H G MOSLEY PKWY, LONGVIEW, TX 75604-3661
(903) 758-8770
(903) 758-3334
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16925
TX
1223P0221X
Pediatric Dentistry
16926
TX
Other
Enumeration date
06/01/2005
Last updated
02/07/2008
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