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Organization
SWAMIDASS AND GOODACRE DENTAL CORP
Active
Organization
SWAMIDASS AND GOODACRE DENTAL CORP
Active
Other names
Upland Prosthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GOODACRE DDS, MSD (VICE PRESIDENT)
(909) 315-6235
Entity
Organization
Contact information
Practice address
250 E 7TH ST STE E, UPLAND, CA 91786-6603
(909) 315-6235
Mailing address
250 E 7TH ST STE E, UPLAND, CA 91786-6603
(909) 315-6235
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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