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1619350790
PHILLIP M GOODMAN
GREENVILLE, SC
NPI
1619350790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: SC 7132)
Enumeration Date
2015-07-07
Last Update Date
2015-07-07
Business Address
Dr. PHILLIP M GOODMAN DDS
105 STATE PARK RD
GREENVILLE, SC 29609-2914
Phone number: 864-271-1156
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Mailing Address
Dr. PHILLIP M GOODMAN DDS
540 OLD HARBOR CT
DAYTON, OH 45458-2878
Phone number: 937-823-3441
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