Michael J Goodoien, DDS

NPI #1144389289 in Forest Lake, Minnesota

Provider Information

NPI Number: 1144389289
Entity Type: Individual
Name: Michael J Goodoien, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 956 WEST BROADWAY
Address 2: LAKES DENTAL CLINIC
City: Forest Lake
State: Minnesota
ZIP Code: 55025
Phone: (651) 464-7277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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