Individual
DR. KENNETH PHILIP GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
840 CHURCH ST NE, BLD D STE1, MARIETTA, GA 30060-8936
(770) 422-3636
(770) 422-6022
Mailing address
840 CHURCH ST NE, BLD D STE1, MARIETTA, GA 30060-8936
(770) 422-3636
(770) 422-6022
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN11334
GA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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