Organization
GOLDMAN & PACKMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A GOLDMAN D.D.S. (PARTNER)
(410) 761-3335
Entity
Organization
Contact information
Practice address
7600 RITCHIE HWY, GLEN BURNIE, MD 21061-3718
(410) 761-3335
(410) 761-3362
Mailing address
1205 DAIRY RD, PARKTON, MD 21120-9505
(410) 329-6374
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4467
MD
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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