Organization
SWAMIDASS AND GOODACRE DENTAL CORP
Active
Other names
Upland Prosthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GOODACRE DDS, MSD (VICE PRESIDENT)
(909) 315-6235
Entity
Organization
Contact information
Practice address
250 E 7TH ST STE E, UPLAND, CA 91786-6603
(909) 315-6235
Mailing address
250 E 7TH ST STE E, UPLAND, CA 91786-6603
(909) 315-6235
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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