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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