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MR. JOHN WARREN MCGAUGHEY DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1841307501

Individual Registrant:
MR. JOHN WARREN MCGAUGHEY DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
326 N MT SHASTA BLVD #4 MT SHASTA, CA 96067 US
Tel: 530-926-6441  Fax: 530-926-6441

Contact information for business:
326 N MT SHASTA BLVD #4 MT SHASTA, CA 96067 US
Tel: 530-926-6441  Fax: 530-926-6441

Registration Information:
NPI: 1841307501
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA20231

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DENTICALB2023101CA01




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