Individual
DR. THEODORE GOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1636 E 14TH ST STE 123, BROOKLYN, NY 11229-1100
(718) 691-5973
Mailing address
1636 E 14TH ST STE 123, BROOKLYN, NY 11229-1100
(718) 691-5973
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
50 049947
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
049947
NY
Other
Enumeration date
05/03/2012
Last updated
07/16/2023
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