Individual
LYLE EUGENE MCGAUGHEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5872 FULTON RD NW, CANTON, OH 44718
(330) 499-2388
(330) 499-2388
Mailing address
5872 FULTON RD NW, CANTON, OH 44718
(330) 499-2388
(330) 499-2388
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-014605
OH
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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