DR. Tim Gough, DDS
NPI #1104483791 in Parkville, Maryland
Provider Information
- NPI Number
- 1104483791
- Entity Type
- Individual
- Name
- DR. Tim Gough, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- May 20, 2019
- Last Updated
- Nov 22, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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