| NPI | 1174798045 |
|---|---|
| Former Legal Business Name | MARK W. GOODMAN, D.D.S., PC |
| Entity Type | Organization |
| Authorized Contact | JEANNA GOODMAN Office Manager 580-482-5424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2011-01-24 |