Individual
DR. BRANDON O'NEAL GOODLOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7315 FM 1960 RD E, HOUSTON, TX 77346-3156
(281) 812-7550
Mailing address
7315 FM 1960 RD E, HOUSTON, TX 77346
(281) 812-7550
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
30.026302
OH
1223P0221X
Pediatric Dentistry
Primary
39733
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2019
Last updated
06/26/2023
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