Individual
DR. PATRICK WILLIAM GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
113 SOUTH KALAMAZOO STREET, WHITE PIGEON, MI 49099
(269) 483-9621
(269) 483-2569
Mailing address
113 SOUTH KALAMAZOO STREET, PO BOX 695, WHITE PIGEON, MI 49099
(269) 483-9621
(269) 483-2569
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016419
MI
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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