| NPI | 1760254239 |
|---|---|
| Doing Business As | GOODLAND CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE TRAHAN CEO 805-456-2866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |