Individual
DR. DANIEL BRIAN GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
555 N NEW BALLAS RD, SUITE 355, SAINT LOUIS, MO 63141-6825
(314) 567-3555
Mailing address
555 N NEW BALLAS RD, SUITE 355, SAINT LOUIS, MO 63141-6825
(314) 567-3555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2013017100
MO
Other
Enumeration date
05/07/2013
Last updated
06/10/2013
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