| Goodman Maa Dds | |
|
8654b On The Mall # 154b Buena Park CA 90620-3232 | |
| (714) 826-2525 | |
| Not Available |
| Full Name | Goodman Maa Dds |
|---|---|
| Speciality | Dentist |
| Location | 8654b On The Mall # 154b, Buena Park, California |
| Authorized Official Name and Position | Goodman Chester Maa (OWNER) |
| Authorized Official Contact | 7148262525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodman Maa Dds 8654b On The Mall # 154b Buena Park CA 90620-3232 Ph: (714) 826-2525 | Goodman Maa Dds 8654b On The Mall # 154b Buena Park CA 90620-3232 Ph: (714) 826-2525 |
| NPI Number | 1205229614 |
|---|---|
| Provider Enumeration Date | 03/09/2015 |
| Last Update Date | 03/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205229614 | NPI | - | NPPES |
| D44460 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 44460 (California) | Primary |
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