Individual
DR. IRA GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2100 E HALLANDALE BEACH BLVD, SUITE 409 TRANS CAPITAL BANK BLDG, HALLANDALE BEACH, FL 33009-3765
(954) 456-9844
(954) 458-3017
Mailing address
2100 E HALLANDALE BEACH BLVD, SUITE 409 TRANS CAPITAL BANK BLDG, HALLANDALE BEACH, FL 33009-3765
(954) 456-9844
(954) 458-3017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
FLA5717
FL
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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