Organization
GREENLEAF DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEREDITH GOODRICH D.M.D. (PRESIDENT)
(352) 376-3216
Entity
Organization
Contact information
Practice address
4436 NW 23RD AVE STE A, GAINESVILLE, FL 32606-6507
(352) 376-3216
Mailing address
4436 NW 23RD AVE STE A, GAINESVILLE, FL 32606-6507
(352) 376-3216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16117
FL
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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