Individual
DENNIS D GOLDEN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
105 COTTAGE RD, CARTHAGE, TX 75633
(903) 693-7745
(903) 693-8971
Mailing address
105 COTTAGE RD, CARTHAGE, TX 75633
(903) 693-7745
(903) 693-8971
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2493TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121637605
—
TX
01
—
2493TG
LICENSE NO
TX
Enumeration date
09/27/2006
Last updated
02/23/2022
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