Individual
KENNETH GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
211 HIGH ST, DEDHAM, MA 02026-2852
(781) 326-6260
Mailing address
211 HIGH ST, DEDHAM, MA 02026-2852
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14471
MA
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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