Individual
MICHAEL D MCDOUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
835 S GILBERT RD, GILBERT, AZ 85296-2979
(480) 297-0979
Mailing address
835 S GILBERT RD, GILBERT, AZ 85296-2979
(480) 861-7265
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10011
AZ
Other
Enumeration date
05/29/2018
Last updated
07/23/2024
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