Individual
DR. RICHARD NEAL GOODROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6185 BUFORD HWY, BUILDING B-102, NORCROSS, GA 30071-2350
(770) 448-8385
(770) 448-8386
Mailing address
6185 BUFORD HWY, BUILDING B-102, NORCROSS, GA 30071-2350
(770) 448-8385
(770) 448-8386
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7170
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4535168-JL
GA WITHHOLDING I. D. NUMB
GA
Enumeration date
01/08/2007
Last updated
07/08/2007
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