Individual
DR. CRAIG STUART GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5925 FOREST LN, SUITE #310, DALLAS, TX 75230-2712
(972) 233-1142
(972) 960-1411
Mailing address
5925 FOREST LN, SUITE #310, DALLAS, TX 75230-2712
(972) 233-1142
(972) 960-1411
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
14185
TX
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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