| Goodis Robert K Gen Ptr | |
|
3724 Katella Ave Los Alamitos CA 90720-3102 | |
| (562) 936-0071 | |
| (562) 866-8190 |
| Full Name | Goodis Robert K Gen Ptr |
|---|---|
| Speciality | Dentist |
| Location | 3724 Katella Ave, Los Alamitos, California |
| Authorized Official Name and Position | Nate I Weiner (OWNER) |
| Authorized Official Contact | 5629360071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodis Robert K Gen Ptr 3724 Katella Ave Los Alamitos CA 90720-3102 Ph: (562) 936-0071 | Goodis Robert K Gen Ptr 3724 Katella Ave Los Alamitos CA 90720-3102 Ph: (562) 936-0071 |
| NPI Number | 1295949857 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295949857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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