Organization
STEVEN P. GOGUEN D.M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GOGUEN (OWNER)
(508) 885-0033
Entity
Organization
Contact information
Practice address
134 W MAIN ST, SPENCER, MA 01562-2621
(508) 885-0033
Mailing address
134 W MAIN ST, SPENCER, MA 01562-2621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18103
MA
Other
Enumeration date
02/20/2010
Last updated
02/20/2010
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