Individual
DR. WENDY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
949 N 14TH ST, LEESBERG, FL 34748
(352) 460-0164
(352) 559-3962
Mailing address
2756 CUTTERS COR, THE VILLAGES, FL 32162-6038
(352) 973-2007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN23123
FL
1223P0300X
Periodontics
035239
NY
1223P0300X
Periodontics
Primary
DN23123
FL
Other
Enumeration date
07/09/2008
Last updated
01/16/2019
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