Individual
MICHELLE GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
41B STATE ST, LYNN, MA 01901-1504
(781) 292-4319
Mailing address
145 COMMERCIAL ST. UNIT 534, BOSTON, MA 02109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 21912
FL
Other
Enumeration date
06/21/2016
Last updated
03/17/2018
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