DR. Fredisha Manning Goodfellow, D.M.D

NPI #1982969853 in West Memphis, Arkansas

Provider Information

NPI Number: 1982969853
Entity Type: Individual
Name: DR. Fredisha Manning Goodfellow, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Jul 6, 2012
Last Updated: Apr 17, 2015

Practice Location

Address: 900 N 7TH ST
City: West Memphis
State: Arkansas
ZIP Code: 72301-2001
Phone: (870) 733-6334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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