| NPI | 1386789923 |
|---|---|
| Doing Business As | GOODMAN DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ROY ROBERT BROWN Owner 520-888-9047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AZ 6566) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: AZ 2539) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2017-02-23 |