Organization
ALFRED S. GOODMAN, DDS, MSD, INC
Active
Parent organization
ALFRED S. GOODMAN, DDS, MSD, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALFRED S. GOODMAN, DDS, MSD, INC
Authorized official
DR. ALFRED SAM GOODMAN DDS (PRESIDENT)
(713) 668-6162
Entity
Organization
Contact information
Practice address
5959 WEST LOOP SOUTH #610, BELLAIRE, TX 77401
(713) 668-6162
(773) 668-6155
Mailing address
5959 WEST LOOP SOUTH #610, BELLAIRE, TX 77401
(713) 668-6162
(773) 668-6155
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
07252
TX
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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