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 |