| NPI | 1598786659 |
|---|---|
| Former Legal Business Name | GREGORY D GOUGH DDS |
| Entity Type | Organization |
| Authorized Contact | GREGORY DAVID GOUGH President 978-535-3135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MA 15820) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |