Danielle M. Gough, Dmd, Pllc | |
1124 Gallery Park Boulevard Wilmington NC 28412 | |
(910) 218-1222 | |
(844) 266-2407 |
Full Name | Danielle M. Gough, Dmd, Pllc |
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Speciality | Dentist - General Practice |
Location | 1124 Gallery Park Boulevard, Wilmington, North Carolina |
Authorized Official Name and Position | Sofia Marie Fanti (OFFICE MANAGER) |
Authorized Official Contact | 9102181222 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Danielle M. Gough, Dmd, Pllc 1215 W Gate Dr Ste 180 Leland NC 28451-0437 Ph: () - | Danielle M. Gough, Dmd, Pllc 1124 Gallery Park Boulevard Wilmington NC 28412 Ph: (910) 218-1222 |
NPI Number | 1043852148 |
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Provider Enumeration Date | 10/10/2019 |
Last Update Date | 10/10/2019 |
Identifier | Type | State | Issuer |
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1043852148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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