Individual
ZACHARY M GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
909 ELM ST, MINDEN, LA 71055-2747
(318) 377-9411
Mailing address
709 NELLA ST, MINDEN, LA 71055-3040
(318) 382-1845
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5767
LA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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