Individual
DR. DAVID L GOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
19245 CASA PL, TARZANA, CA 91356-4423
(818) 881-3688
(818) 881-8199
Mailing address
19245 CASA PL, TARZANA, CA 91356-4423
(818) 881-3688
(818) 881-8199
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14762
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B1476201
DENTICAL PROVDER NUMBER
CA
Enumeration date
04/26/2007
Last updated
09/19/2007
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