Michael Degould DDS PC

NPI #1346318532 in Rockford, Illinois

Provider Information

NPI Number
1346318532
Entity Type
Organization
Organization Name
Michael Degould DDS PC
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Dec 4, 2006
Last Updated
Jan 28, 2013

Practice Location

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

Authorized Official

Name
DR. MICHAEL DAVID DEGOULD, DDS
Title
ORAL SURGEON OWNER
Phone
(815) 654-0039

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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