Individual
SEAN PATRICK GOOLSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12745 N 1ST AVE, LINDSTROM, MN 55045-9585
(651) 257-2720
Mailing address
PO BOX 399, LINDSTROM, MN 55045-0399
(651) 257-2720
(651) 257-8752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13152
MN
Other
Enumeration date
05/17/2011
Last updated
12/09/2019
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