Individual
DR. GREGORY DAVID GOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
266 CABOT ST, BEVERLY, MA 01915-3370
(978) 922-7400
Mailing address
29 NORWOOD AVE, MANCHESTER, MA 01944-1507
(978) 922-7400
(078) 535-7750
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15820
MA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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