Individual
STEPHEN B GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
411 N CENTRAL AVE, SUITE 220, GLENDALE, CA 91203
(818) 240-4555
(818) 240-0419
Mailing address
411 N CENTRAL AVE, SUITE 220, GLENDALE, CA 91203
(818) 240-4555
(818) 240-0419
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
23309
CA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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