Organization
GAGOH FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSCAR K GAGOH D.D.S (OWNER)
(248) 350-3366
Entity
Organization
Contact information
Practice address
24450 EVERGREEN RD, SUITE 101, SOUTHFIELD, MI 48075-5518
(248) 350-3366
(248) 350-0457
Mailing address
24450 EVERGREEN RD, SUITE 101, SOUTHFIELD, MI 48075-5518
(248) 350-3366
(248) 350-0457
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/17/2010
Last updated
03/11/2010
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