Individual
DR. MARIELA GAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
205 STEEPLE CHASE DR STE 208, PRINCE FREDERICK, MD 20678
(410) 535-0296
Mailing address
224 3RD ST SE APT 1, WASHINGTON, DC 20003-1922
(630) 392-0164
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16542
MD
Other
Enumeration date
06/19/2018
Last updated
07/20/2018
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