Individual
GREGORY G GOGGANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
114 PETERSON AVE N, SUITE 305, DOUGLAS, GA 31533-3708
(912) 384-1560
(912) 384-6576
Mailing address
114 PETERSON AVE N, SUITE 305, DOUGLAS, GA 31533-3708
(912) 384-1560
(912) 384-6576
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
00010025
GA
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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