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Organization

MARK J GOCH DDS PC

Active
Other names
Canton Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK J GOCH DDS (OWNER)
(770) 479-5425
Entity
Organization

Contact information

Practice address
230 RIVERSTONE PKWY, SUITE A, CANTON, GA 30114
(770) 479-5425
(770) 479-0291
Mailing address
230 RIVERSTONE PKWY, SUITE A, CANTON, GA 30114
(770) 479-5425
(770) 479-0291

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/28/2006
Last updated
08/22/2020
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