Individual
DR. PATRICK ADAM GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5060 HIGHWAY 260, LAKESIDE, AZ 85929-5150
(928) 532-4451
(928) 537-5709
Mailing address
PO BOX 4084, SHOW LOW, AZ 85902-4084
(928) 532-4451
(928) 537-5709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5250
AZ
Other
Enumeration date
04/26/2006
Last updated
02/09/2010
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