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Organization
GOO D.D.S. INC.
Active
Organization
GOO D.D.S. INC.
Active
Other names
Green Street Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN GOO DDS (PRESIDENT)
(626) 460-0250
Entity
Organization
Contact information
Practice address
1145 E GREEN ST, PASADENA, CA 91106-2505
(626) 460-0250
Mailing address
645 E UNION ST UNIT 303, PASADENA, CA 91101-7704
(818) 395-1968
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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