Organization
MARK A. GOLDMAN, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A. GOLDMAN D.D.S. (PRESIDENT)
(757) 638-0900
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
6538
VA
Other
Enumeration date
10/04/2006
Last updated
07/05/2012
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