Goodman Maa DDS

NPI #1205229614 in Buena Park, California

Provider Information

NPI Number: 1205229614
Entity Type: Organization
Organization Name: Goodman Maa DDS
Primary Specialty: Dentist
Enumeration Date: Mar 9, 2015
Last Updated: Mar 9, 2015

Practice Location

Address: 8654B ON THE MALL # 154B
City: Buena Park
State: California
ZIP Code: 90620-3232
Phone: (714) 826-2525

Authorized Official

Name: DR. GOODMAN CHESTER MAA, DDS
Title: OWNER
Phone: (714) 826-2525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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