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Individual
MICHAEL T MCHUGH
Active
Individual
MICHAEL T MCHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1755
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010009646
BLUE SHIELD OF IDAHO
ID
01
—
612058100
US DEPARTMENT OF LABOR
—
01
—
6P591
BLUE CROSS OF IDAHO
ID
01
—
9201894
IDAHO SMILES/DENTAQUEST
ID
Enumeration date
09/15/2010
Last updated
09/15/2010
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