Individual
ELIZABETH BLAKE MCGOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
761 WASHINGTON ST, NORWOOD, MA 02062-6612
(781) 762-8855
Mailing address
761 WASHINGTON ST, NORWOOD, MA 02062-6612
(781) 762-8855
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1859380
MA
1223E0200X
Endodontics
Primary
DN1859380
MA
Other
Enumeration date
04/19/2022
Last updated
10/30/2024
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