Individual
ALLYN P. GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4408 S EASTERN AVE, STE. 100, LAS VEGAS, NV 89119-7825
(702) 731-5700
Mailing address
4808 S. EASTERN AVE., STE. 100, LAS VEGAS, NV 89119-7825
(702) 731-5700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2376
NV
Other
Enumeration date
07/21/2005
Last updated
08/09/2011
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