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Individual
DR. JEFFREY MARK GOODMAN
Active
Individual
DR. JEFFREY MARK GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI02399000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
06/19/2008
Last updated
02/04/2010
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