Gregory Thomas Goodlin, DMD

NPI #1952463804 in Portland, Oregon

Provider Information

NPI Number: 1952463804
Entity Type: Individual
Name: Gregory Thomas Goodlin, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Dec 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 11769 NE GLISON ST
City: Portland
State: Oregon
ZIP Code: 97220
Phone: (503) 252-9901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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