Individual
DR. JOHN G. GOODMAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3111 SOUTHWEST BLVD, SAN ANGELO, TX 76904
(325) 224-4333
Mailing address
997 FM 2288, SAN ANGELO, TX 76901
(325) 224-2804
(325) 224-4085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11749
TX
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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