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Organization

MARK A. GOODFELLOW, D.D.S., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA OCHS (OFFICE MGR)
(714) 647-9339
Entity
Organization

Contact information

Practice address
2427 N TUSTIN AVE STE A, SANTA ANA, CA 92705-1655
(714) 647-9339
(714) 647-9576
Mailing address
2427 N TUSTIN AVE STE A, SANTA ANA, CA 92705-1655
(714) 647-9339
(714) 647-9576

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30534
CA

Other

Enumeration date
07/31/2008
Last updated
07/31/2008
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