DR. Evan B Goodman, D.D.S.
NPI #1770506776 in Libertyville, Illinois
Provider Information
- NPI Number
- 1770506776
- Entity Type
- Individual
- Name
- DR. Evan B Goodman, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- D.D.S.
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 115 W MAPLE AVE
- City
- Libertyville
- State
- Illinois
- ZIP Code
- 60048-2119
- Phone
- (847) 362-2980
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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