MICHAEL DAVID DEGOULD

ROCKFORD, IL
NPI1245673441
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL  019019722)
Enumeration Date2013-04-08
Last Update Date2014-09-10
Business Address
Dr. MICHAEL DAVID DEGOULD DDS
2835 MCFARLAND RD SUITE C
ROCKFORD, IL 61107-6819
Phone number: 815-654-0039
Mailing Address
Dr. MICHAEL DAVID DEGOULD DDS
2835 MCFARLAND RD SUITE C
ROCKFORD, IL 61107-6819
Phone number: 815-654-0039
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