Individual
DR. MICHAEL GARRETT GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7417 CRATER LAKE HWY, WHITE CITY, OR 97503-1662
(541) 830-0043
Mailing address
7417 CRATER LAKE HWY, WHITE CITY, OR 97503-1662
(541) 830-0043
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9436
OR
Other
Enumeration date
06/24/2010
Last updated
07/15/2011
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