Individual
DR. BRYAN M GOLDESBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1366 E MAIN ST, CARBONDALE, IL 62901-3144
(618) 549-0208
(618) 549-0182
Mailing address
1366 E MAIN ST, CARBONDALE, IL 62901-3144
(618) 549-0208
(618) 549-0182
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-027825
IL
Other
Enumeration date
02/13/2009
Last updated
12/16/2011
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