Organization
MCHENRY DENTAL CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS GOUGH D.D.S. (PRESIDENT)
(815) 385-1360
Entity
Organization
Contact information
Practice address
1315 N RIVERSIDE DR, MCHENRY, IL 60050-4509
(815) 385-1360
(815) 385-3879
Mailing address
1315 N RIVERSIDE DR, MCHENRY, IL 60050-4509
(815) 385-1360
(815) 385-3879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
06/28/2007
Last updated
08/22/2020
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