Individual
ALEXANDER GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5122 YELM HWY SE STE E, LACEY, WA 98503-5037
(360) 528-7878
Mailing address
PO BOX 253, YELM, WA 98597-0253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61062418
WA
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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