Jeff Goodman, D.D.S. Valid NPI
Individual provider · Dentist · Rolling Hills Estates, CA
- NPI
- 1134488778
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 36369 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2012-05-15
- Last updated
- 2012-05-15
Practice location
857 Silver Spur Rd
Rolling Hills Estates, CA 90274-3803
(310) 377-0966