Individual
DR. JAMES B GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
605 MARINE AVE, KENAI, AK 99611-6928
(907) 283-4875
Mailing address
27498 NORTHRIDGE RD., PO BOX 726, DAVENPORT, WA 99122
(509) 721-0904
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
472
AK
1223G0001X
General Practice Dentistry
LL537764
MI
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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