Individual
MARSHALL GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
837 ZANNA PL, COOS BAY, OR 97420-2899
(949) 610-5513
(541) 808-2768
Mailing address
PO BOX 1435, COOS BAY, OR 97420-0349
(949) 610-5513
(541) 808-2768
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18699
CA
1223E0200X
Endodontics
18699
CA
Other
Enumeration date
07/10/2006
Last updated
05/01/2014
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