Organization
ORTHODONTIC CARE ASSOCIATES PC
Active
Other names
Gregory D Gough DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY DAVID GOUGH DDS (PRESIDENT)
(978) 535-3135
Entity
Organization
Contact information
Practice address
677 LOWELL STREET, PEABODY, MA 01960-3531
(978) 535-3135
(978) 535-7750
Mailing address
677 LOWELL STREET, PEABODY, MA 01960-3531
(978) 535-3135
(978) 535-7750
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15820
MA
Other
Enumeration date
07/22/2006
Last updated
08/22/2020
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