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Organization

ASHLEY A GOODMAN DDS A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ASHLEY ALLEN GOODMAN DDS (DENTIST OWNER CEO)
(619) 697-6677
Entity
Organization

Contact information

Practice address
8736 LAKE MURRAY BLVD, STE 108, SAN DIEGO, CA 92119
(619) 697-6677
(619) 697-6632
Mailing address
8736 LAKE MURRAY BLVD, STE 108, SAN DIEGO, CA 92119
(619) 697-6677
(619) 697-6632

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CA20628
CA

Other

Enumeration date
08/30/2006
Last updated
08/22/2020
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