Individual
DR. CALEB GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7440 W THOMAS RD, PHOENIX, AZ 85033-5529
(623) 201-1325
Mailing address
7440 W THOMAS RD, PHOENIX, AZ 85033-5529
(623) 201-1325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008966
AZ
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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