| Mark A. Goodfellow, D.d.s., Inc. | |
|
2427 N Tustin Ave Ste A Santa Ana CA 92705-1655 | |
| (714) 647-9339 | |
| (714) 647-9576 |
| Full Name | Mark A. Goodfellow, D.d.s., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2427 N Tustin Ave Ste A, Santa Ana, California |
| Authorized Official Name and Position | Linda Ochs (OFFICE MGR) |
| Authorized Official Contact | 7146479339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Goodfellow, D.d.s., Inc. 2427 N Tustin Ave Ste A Santa Ana CA 92705-1655 Ph: (714) 647-9339 | Mark A. Goodfellow, D.d.s., Inc. 2427 N Tustin Ave Ste A Santa Ana CA 92705-1655 Ph: (714) 647-9339 |
| NPI Number | 1649436478 |
|---|---|
| Provider Enumeration Date | 07/31/2008 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649436478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30534 (California) | Primary |
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