DR. A Gary Goodman, DDS

NPI #1194832436 in Annapolis, Maryland

Provider Information

NPI Number: 1194832436
Entity Type: Individual
Name: DR. A Gary Goodman, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1419 FOREST DR
Address 2: SUITE 207
City: Annapolis
State: Maryland
ZIP Code: 21403
Phone: (410) 263-1919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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