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Organization
GOUDA DENTAL CORPORATION
Active
Organization
GOUDA DENTAL CORPORATION
Active
Other names
Galaxy Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED A GOUDA D.D.S (DENTIST)
(559) 782-9297
Entity
Organization
Contact information
Practice address
827 W HENDERSON AVE, PORTERVILLE, CA 93257-1742
(559) 782-9255
Mailing address
827 W HENDERSON AVE, PORTERVILLE, CA 93257-1742
(559) 782-9255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/04/2007
Last updated
12/14/2007
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