Individual
RICHARD L GOOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1916 N BALTIMORE ST, KIRKSVILLE, MO 63501-1902
(660) 665-1901
(660) 665-1903
Mailing address
1916 N BALTIMORE ST, KIRKSVILLE, MO 63501-1902
(660) 665-1901
(660) 665-1903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015679
MO
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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