Individual
DR. GERALD GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1416 ANNAPOLIS RD, ODENTON, MD 21113-1215
(410) 674-8100
(301) 621-9550
Mailing address
1416 ANNAPOLIS RD, ODENTON, MD 21113-1215
(410) 674-8100
(301) 621-9550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5205
MD
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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