Individual
MICHAEL JACK GOGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1215 HILL ST SE, ALBANY, OR 97322-3238
(541) 926-6666
(541) 926-0531
Mailing address
1215 HILL ST SE, ALBANY, OR 97322-3238
(541) 926-6666
(541) 926-0531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DV4523
OR
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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