Individual
DR. GARY H GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 MAIN ST, SPRINGFIELD, MA 01107-1147
(413) 733-9490
(413) 731-6878
Mailing address
3455 MAIN ST, SPRINGFIELD, MA 01107-1147
(413) 733-9490
(413) 731-6878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16628
MA
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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