John Ieland Goodrich DDS MS

NPI 1679622922 - Dentist - 1223E0200X

NPI Details
NPI 1679622922
Gender Male
Enumeration Date 01/09/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4919 DOUGLAS AVE
SUITE 12
DES MOINES IA, 50310, US
Phone (515) 276-3664
Fax
Business Location
4919 DOUGLAS AVE
SUITE 12
DES MOINES IA, 50310, US
Phone (515) 276-3664
Fax
Toxanomy
Taxonomy Code 1223E0200X
License State Iowa
License Number 6461
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According to our database, Dr. John Ieland Goodrich DDS MS NPI is 1679622922, taxonomy code is 1223E0200X and license number is 6461, license state is located at Iowa. John Ieland Goodrich DDS MS physically located at 4919 Douglas Ave, Des Moines IA, 50310. NPI Number John Ieland Goodrich DDS MS has the Individual type.

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1679622922 NPI number is provided on an as is basis without warranty of any kind. 1679622922 is maintained by the National Plan & Provider Enumeration System. The contents of John Ieland Goodrich DDS MS are for informational purposes only.