Individual
MARY ELIZABETH GOSHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHDH, RDH
Contact information
Practice address
46 RED HILL CT, NEWPORT, PA 17074-8706
(717) 230-3919
Mailing address
4921 ARCH ROCK RD, MIFFLINTOWN, PA 17059-9080
(717) 829-6968
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
PHDH000740
PA
Other
Enumeration date
02/11/2018
Last updated
02/11/2018
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