Organization
SCOTT D. GOLDMAN, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT D. GOLDMAN DDS (PRESIDENT)
(847) 987-0322
Entity
Organization
Contact information
Practice address
2050 LARKIN AVE, SUITE 100, ELGIN, IL 60123-4405
(847) 987-0322
Mailing address
2050 LARKIN AVE, SUITE 100, ELGIN, IL 60123-4405
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021002316
IL
Other
Enumeration date
01/07/2011
Last updated
08/28/2013
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