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Organization

MATTHEW PHILLIP GOODRICH

Active
Other names
Goodrich Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW PHILLIP GOODRICH D.D.S. (DENTIST)
(910) 693-1977
Entity
Organization

Contact information

Practice address
125 MURRAY HILL RD, STE G, SOUTHERN PINES, NC 28387-6354
(910) 693-1977
(910) 693-1877
Mailing address
125 MURRAY HILL RD, STE G, SOUTHERN PINES, NC 28387-6354
(910) 693-1977
(910) 693-1877

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10153
NC
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
03/07/2016
Last updated
04/11/2016
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