Individual
DR. A GARY GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1419 FOREST DR, SUITE 207, ANNAPOLIS, MD 21403
(410) 263-1919
(410) 267-9163
Mailing address
1419 FOREST DR, SUITE 207, ANNAPOLIS, MD 21403
(410) 263-1919
(410) 267-9163
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5906
MD
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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