Individual
DR. ROBERT JAY GOHEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
130 STONEMARK LANE, COLUMBIA, SC 29210-3841
(803) 798-8476
(803) 798-6451
Mailing address
130 STONEMARK LANE, COLUMBIA, SC 29210-3841
(803) 798-8476
(803) 798-6451
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0368
SC
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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