Individual
DR. BRIAN JOSEPH GOODACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
11092 ANDERSON ST, LOMA LINDA, CA 92350-1706
(909) 558-4222
Mailing address
11092 ANDERSON ST, LOMA LINDA, CA 92350-1706
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
62481
CA
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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