Individual
DR. TIM GOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9010 HARFORD RD, PARKVILLE, MD 21234-4033
(410) 665-2202
(410) 665-9008
Mailing address
2410 RAVENVIEW RD, TIMONIUM, MD 21093-2716
(410) 252-3526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17197
MD
Other
Enumeration date
05/20/2019
Last updated
11/22/2019
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