Mcgovern Dental, LLC

NPI #1972884344 in Douglas, Georgia

Provider Information

NPI Number: 1972884344
Entity Type: Organization
Organization Name: Mcgovern Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 30, 2011
Last Updated: Aug 30, 2011

Practice Location

Address: 1370 GORDON ST W
City: Douglas
State: Georgia
ZIP Code: 31533-3432
Phone: (912) 384-1306

Authorized Official

Name: DR. JUSTIN MCGOVERN, D.M.D
Title: OWNER
Phone: (912) 384-1306

Specialties & Taxonomy Codes

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

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