Individual
DR. BRIAN GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9521 S WESTERN AVE, CHICAGO, IL 60643-1013
(773) 344-9120
Mailing address
2952 LEE PL, BELLMORE, NY 11710-5032
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.032977
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DBS9273
NY
Other
Enumeration date
01/22/2015
Last updated
02/01/2021
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