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Individual

DR. ROLAND CARYLE MCGOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2805 GILBERT AVE, CINCINNATI, OH 45206-1210
(513) 281-4116
(513) 475-5982
Mailing address
2415 AUBURN AVE, CINCINNATI, OH 45219-2701
(513) 221-4949
(513) 241-4191

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
67630139
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015727
OH
Enumeration date
06/13/2006
Last updated
09/29/2011
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