Organization
P M GOODMAN D.D.S. M.SC.
Active
Organization
P M GOODMAN D.D.S. M.SC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL GOODMAN DDS MS (ORTHODONTIST)
(937) 938-6433
Entity
Organization
Contact information
Practice address
900 E ALEX BELL RD, DAYTON, OH 45459-2721
(937) 938-6433
Mailing address
900 E ALEX BELL RD, DAYTON, OH 45459-2721
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15975
OH
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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