DR. Michael David Degould, DDS

NPI #1245673441 in Rockford, Illinois

Provider Information

NPI Number
1245673441
Entity Type
Individual
Name
DR. Michael David Degould, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS
Enumeration Date
Apr 8, 2013
Last Updated
Sep 10, 2014

Practice Location

Address
2835 MCFARLAND RD
Address 2
SUITE C
ZIP Code
61107-6819
Phone
(815) 654-0039

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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