Individual
DR. MARK ALLEN GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2995 CHURCHLAND BLVD, SUITE A, CHESAPEAKE, VA 23321-5642
(757) 638-0900
(757) 638-0944
Mailing address
2995 CHURCHLAND BLVD, SUITE A, CHESAPEAKE, VA 23321-5642
(757) 638-0900
(757) 638-0944
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006538
VA
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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