Individual
DR. JEREMY HASKELL GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2530 RIVA RD, SUITE 201, ANNAPOLIS, MD 21401-7413
(410) 263-1919
Mailing address
1131 UNIVERSITY BLVD W, #601, SILVER SPRING, MD 20902-3357
(301) 681-2812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14783
MD
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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