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1700931268
GERALD GOODMAN
ODENTON, MD
NPI
1700931268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MD 5205)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
Dr. GERALD GOODMAN D.D.S.
1416 ANNAPOLIS RD
ODENTON, MD 21113-1215
Phone number: 410-674-8100
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Mailing Address
Dr. GERALD GOODMAN D.D.S.
1416 ANNAPOLIS RD
ODENTON, MD 21113-1215
Phone number: 410-674-8100
Copy
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