Organization
MARSHALL R GOLDMAN DDSPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARSHALL ROBERT GOLDMAN (PRESIDENT)
(410) 486-2158
Entity
Organization
Contact information
Practice address
11963 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3030
(410) 833-6200
Mailing address
2430 DIANA RD, BALTIMORE, MD 21209-1526
(410) 486-2158
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3686
MD
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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