DR. Charles Thomas Mcgough, D.D.S.

NPI #1922269208 in Longview, Texas

Provider Information

NPI Number: 1922269208
Entity Type: Individual
Name: DR. Charles Thomas Mcgough, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jun 19, 2008
Last Updated: Jun 19, 2008

Practice Location

Address: 2392 H G MOSLEY PKWY
City: Longview
State: Texas
ZIP Code: 75604-3661
Phone: (903) 758-8770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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