Organization
DANIELLE M. GOUGH, DMD, PLLC
Active
Other names
Complete Dental Barclay
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOFIA MARIE FANTI (OFFICE MANAGER)
(910) 218-1222
Entity
Organization
Contact information
Practice address
1124 GALLERY PARK BOULEVARD, WILMINGTON, NC 28412
(910) 218-1222
(844) 266-2407
Mailing address
1215 W GATE DR STE 180, LELAND, NC 28451-0437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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