Individual
RACHEL GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21050 N TATUM BLVD STE 200, PHOENIX, AZ 85050-4262
(713) 540-8369
Mailing address
1500 N MARKDALE UNIT 1, MESA, AZ 85201-2445
(713) 540-8369
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012845
AZ
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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