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Individual

LAUREL HAILEIGH GOFTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7101 HOFF ST, FORT BENNING, GA 31905-5645
(706) 544-4795
Mailing address
10507 THAMES DR, RICHMOND, VA 23238-4830

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419449
VA

Other

Enumeration date
05/28/2025
Last updated
05/28/2025
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