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Organization
S GOH DDS INC
Active
Organization
S GOH DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHINYOUNG GOH DDS (DENTIST)
(347) 463-2389
Entity
Organization
Contact information
Practice address
3200 ADAMS AVE STE 202, SAN DIEGO, CA 92116-1643
(347) 463-2389
Mailing address
4142 ADAMS AVE STE 103-622, SAN DIEGO, CA 92116-2592
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104788
DENTIST
CA
Enumeration date
05/18/2021
Last updated
09/03/2021
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