Individual
MR. JEFFREY A GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1324 23RD ST. S, FARGO, ND 58103-3702
(701) 237-5616
(701) 271-8813
Mailing address
1324 23RD ST. S, FARGO, ND 58103-3702
(701) 237-5616
(701) 271-8813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2318
ND
Other
Enumeration date
09/24/2014
Last updated
12/11/2023
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