Individual
DR. SARA BETH GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
104-60 QUEENS BLVD, SUITE B, FOREST HILLS, NY 11735
(718) 459-7900
Mailing address
104-60 QUEENS BLVD, SUITE B, FOREST HILLS, NY 11735
(718) 459-7900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS041110
PA
1223P0221X
Pediatric Dentistry
Primary
059363
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2015
Last updated
01/27/2019
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