Individual
DR. GAIL G GOODMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1545 E UNIVERSITY DR, MESA, AZ 85203
(480) 834-9001
(480) 844-8206
Mailing address
3428 E DECATUR, MESA, AZ 85213
(480) 830-6619
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2537
AZ
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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