Individual
DR. REBECCA GOFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4359 KEYSTONE DR STE 100, MAUMEE, OH 43537-8709
(419) 893-0221
Mailing address
385 LOCKWOOD RD, FAIRFIELD, CT 06825-2650
(203) 362-8144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025854
OH
Other
Enumeration date
03/22/2018
Last updated
07/05/2019
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