Individual
GULJEMAL GOCHOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6218 WASHINGTON AVE STE C, MOUNT PLEASANT, WI 53406-3916
(262) 886-1300
Mailing address
6218 WASHINGTON AVE STE C, MOUNT PLEASANT, WI 53406-3916
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001050-15
WI
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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