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Individual

TAMELA L GOUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S, M.S.

Contact information

Practice address
201 N ALMA DR, SUITE 100, ALLEN, TX 75013-3337
(972) 727-0737
(972) 727-5583
Mailing address
201 N ALMA DR, SUITE 100, ALLEN, TX 75013-3337
(972) 727-0737
(972) 727-5583

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
15502
TX

Other

Enumeration date
08/23/2006
Last updated
07/08/2007
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