Individual
DR. TIM GOODHEART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6530 RAYTOWN RD, #A, RAYTOWN, MO 64133-5058
(816) 353-0673
(816) 353-8432
Mailing address
6530 RAYTOWN RD, #A, RAYTOWN, MO 64133-5058
(816) 353-0673
(816) 353-8432
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 015522
MO
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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