Organization
MASTERPIECE FAMILY & COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DEREK GOODMAN DDS (DENTIST)
(865) 806-0620
Entity
Organization
Contact information
Practice address
515 BETHEL RD, CLINTON, TN 37716-6645
(865) 494-0634
Mailing address
515 BETHEL RD, CLINTON, TN 37716-6645
(865) 494-0634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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