Organization
GOLDSTEIN DENTAL OFFICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT C GOLDSTEIN DDS (OWNER)
(417) 845-6384
Entity
Organization
Contact information
Practice address
407 HIGH ST, ANDERSON, MO 64831
(417) 845-6384
(417) 845-8038
Mailing address
PO BOX 630, 407 HIGH ST, ANDERSON, MO 64831
(417) 845-6384
(417) 845-8038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14374
MO
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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