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Organization

SAMUEL GOODLOE III DDS MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANUEL GOODLOE III DDS, MD (OWNER)
(716) 626-0001
Entity
Organization

Contact information

Practice address
1321 MILLERSPORT HWY, SUITE 201, WILLIAMSVILLE, NY 14221-2900
(716) 626-0001
Mailing address
1321 MILLERSPORT HWY, SUITE 201, WILLIAMSVILLE, NY 14221-2900
(716) 626-0001

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
044038
NY

Other

Enumeration date
10/13/2011
Last updated
10/13/2011
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