Individual
DR. GLENN CHARLES GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S
Contact information
Practice address
34501 AURORA RD STE 305, SOLON, OH 44139-3831
(440) 248-4825
(440) 248-5489
Mailing address
34501 AURORA RD STE 305, SOLON, OH 44139-3831
(440) 248-4825
(440) 248-5489
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11599
OH
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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