Goodman Dental Care LLC

NPI #1144625807 in Annapolis, Maryland

Provider Information

NPI Number: 1144625807
Entity Type: Organization
Organization Name: Goodman Dental Care LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 23, 2014
Last Updated: Oct 23, 2014

Practice Location

Address: 2530 RIVA RD
Address 2: SUITE # 201
City: Annapolis
State: Maryland
ZIP Code: 21401-7413
Phone: (410) 263-1919

Authorized Official

Name: DR. A. GARY GOODMAN, DDS
Title: OWNER
Phone: (410) 263-1919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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