| NPI | 1265090443 |
|---|---|
| Doing Business As | GOODMAN ROAD DENTAL PLLC |
| Entity Type | Organization |
| Authorized Contact | MAX S. BREAZEAL Owner 901-861-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |