Individual
DR. JOSE' MARIO GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,P.A
Contact information
Practice address
6302 MANATEE AVE W, SUITE A, BRADENTON, FL 34209-2377
(941) 792-0435
(941) 792-0440
Mailing address
6302 MANATEE AVE W, SUITE A, BRADENTON, FL 34209-2377
(941) 792-0435
(941) 792-0440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN4304
FL
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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