Individual
DR. ROGER LYLE GOODMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 TEMPLE ST, MASON, MI 48854-1837
(517) 676-5200
Mailing address
200 TEMPLE ST, MASON, MI 48854-1837
(517) 676-5200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901010323
MI
Other
Enumeration date
01/03/2006
Last updated
07/08/2007
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