Individual
DR. KEITH RICHARD REUBEN GAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7718 SIX FORKS ROAD, SUITE 110, RALEIGH, NC 27615-5072
(919) 847-6453
Mailing address
7718 SIX FORKS ROAD, SUITE 110, RALEIGH, NC 27615-5072
(919) 847-6453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9399
NC
Other
Enumeration date
10/21/2009
Last updated
08/18/2021
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