Individual
DR. GARY GERVAIS GOODELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S., M.A.
Contact information
Practice address
8901 WISCONSIN AVENUE, BETHESDA, MD 20889-0001
(301) 295-1831
(301) 295-5767
Mailing address
12214 HOLLOW TREE LN, FAIRFAX, VA 22030-6246
(703) 266-9041
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6478
IA
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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