| NPI | 1497115273 |
|---|---|
| Doing Business As | GOODRICH DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW PHILLIP GOODRICH Dentist 910-693-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NC 10153) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-04-11 |