Individual
ROSALIE GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT, RDH
Contact information
Practice address
2565 NE BUTLER MARKET RD, BEND, OR 97701-1587
(541) 317-1887
Mailing address
63314 LAMOINE LN, BEND, OR 97701-8291
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT0001
OR
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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