Individual
JUDD RAY GOULDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3933 S 48TH ST, LINCOLN, NE 68506-4318
(402) 489-5500
Mailing address
3933 S 48TH ST, LINCOLN, NE 68506-4318
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6411
NE
1223G0001X
General Practice Dentistry
Primary
6411
NE
Other
Enumeration date
08/15/2006
Last updated
09/11/2023
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