JUSTIN RYAN GOODMAN

CLACKAMAS, OR
NPI1588813992
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D9165)
Enumeration Date2008-09-10
Last Update Date2010-01-22
Business Address
Dr. JUSTIN RYAN GOODMAN DDS
13023 SE 84TH AVE STE A
CLACKAMAS, OR 97015-9798
Phone number: 503-353-9992
Mailing Address
Dr. JUSTIN RYAN GOODMAN DDS
13023 SE 84TH AVE STE A
CLACKAMAS, OR 97015-9798
Phone number: 503-353-9992