| Goodman Dental Care Llc | |
|
2530 Riva Rd Suite # 201 Annapolis MD 21401-7413 | |
| (410) 263-1919 | |
| Not Available |
| Full Name | Goodman Dental Care Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2530 Riva Rd, Annapolis, Maryland |
| Authorized Official Name and Position | A. Gary Goodman (OWNER) |
| Authorized Official Contact | 4102631919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodman Dental Care Llc 2530 Riva Rd Suite # 201 Annapolis MD 21401-7413 Ph: (410) 263-1919 | Goodman Dental Care Llc 2530 Riva Rd Suite # 201 Annapolis MD 21401-7413 Ph: (410) 263-1919 |
| NPI Number | 1144625807 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 10/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144625807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5906 (Maryland) | Primary |
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