Individual
LORI ANN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2503
(520) 295-2676
Mailing address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 295-2503
(520) 295-2676
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
29020105961605145
MI
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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