Goodis Robert K Gen Ptr

NPI #1295949857 in Los Alamitos, California

Provider Information

NPI Number: 1295949857
Entity Type: Organization
Organization Name: Goodis Robert K Gen Ptr
Primary Specialty: Dentist
Enumeration Date: May 10, 2007
Last Updated: Jul 11, 2008

Practice Location

Address: 3724 KATELLA AVE
City: Los Alamitos
State: California
ZIP Code: 90720-3102
Phone: (562) 936-0071

Authorized Official

Name: DR. NATE I WEINER, DDS
Title: OWNER
Phone: (562) 936-0071

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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