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1467444117
GARY GERVAIS GOODELL
BETHESDA, MD
NPI
1467444117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: IA 6478)
Enumeration Date
2005-08-18
Last Update Date
2007-07-08
Business Address
Dr. GARY GERVAIS GOODELL D.D.S., M.S., M.A.
8901 WISCONSIN AVENUE
BETHESDA, MD 20889-0001
Phone number: 301-295-1831
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Mailing Address
Dr. GARY GERVAIS GOODELL D.D.S., M.S., M.A.
12214 HOLLOW TREE LN
FAIRFAX, VA 22030-6246
Phone number: 703-266-9041
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