Richard L Gooch, DDS

NPI #1992899751 in Kirksville, Missouri

Provider Information

NPI Number: 1992899751
Entity Type: Individual
Name: Richard L Gooch, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Oct 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1916 N BALTIMORE ST
City: Kirksville
State: Missouri
ZIP Code: 63501-1902
Phone: (660) 665-1901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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