Individual
LEONARD JAY GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12510 PROSPERITY DRIVE, SUITE #250, SILVER SPRING, MD 20904
(301) 622-2700
(301) 622-2703
Mailing address
12510 PROSPERITY DRIVE, SUITE #250, SILVER SPRING, MD 20904
(301) 622-2700
(301) 622-2703
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8392
MD
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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