| Marshall R Goldman Ddspa | |
|
11963 Reisterstown Rd Reisterstown MD 21136-3030 | |
| (410) 833-6200 | |
| Not Available |
| Full Name | Marshall R Goldman Ddspa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11963 Reisterstown Rd, Reisterstown, Maryland |
| Authorized Official Name and Position | Marshall Robert Goldman (PRESIDENT) |
| Authorized Official Contact | 4104862158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall R Goldman Ddspa 2430 Diana Rd Baltimore MD 21209-1526 Ph: (410) 486-2158 | Marshall R Goldman Ddspa 11963 Reisterstown Rd Reisterstown MD 21136-3030 Ph: (410) 833-6200 |
| NPI Number | 1669686150 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669686150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3686 (Maryland) | Primary |
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