Individual
DR. DAVID EARL GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10004 KENNERLY RD, SUITE 240, ST LOUIS, MO 63128
(314) 849-3234
(314) 849-3241
Mailing address
10004 KENNERLY RD, SUITE 240, ST LOUIS, MO 63128
(314) 849-3234
(314) 849-3241
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011279
MO
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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