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Individual

DR. AMBER K GOODE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH, DDS

Contact information

Practice address
3245 LAWRENCEVILLE SUWANEE RD STE 100, SUWANEE, GA 30024-6541
(703) 517-5575
Mailing address
100 HIGHGROVE DR, SUWANEE, GA 30024-4294
(703) 517-5575

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401413434
VA
1223G0001X
General Practice Dentistry
DEN1001078
DC
1223G0001X
General Practice Dentistry
Primary
DN122225
GA

Other

Enumeration date
07/02/2012
Last updated
08/24/2022
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