Dr Mitchell Allen Goodis, DDS | |
540 Pleasant Valley Rd, Ste 102, Diamond Springs, CA 95619-0500 | |
(530) 344-0290 | |
(530) 344-0291 |
Full Name | Dr Mitchell Allen Goodis |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 540 Pleasant Valley Rd, Diamond Springs, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851495147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D43010 (California) | Primary |
Mailing Address | Practice Location Address |
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Dr Mitchell Allen Goodis, DDS Po Box 500, Ste 102, Diamond Springs, CA 95619-0500 Ph: (530) 344-0290 | Dr Mitchell Allen Goodis, DDS 540 Pleasant Valley Rd, Ste 102, Diamond Springs, CA 95619-0500 Ph: (530) 344-0290 |
Dr. Richard Wayne Henifin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 493 Main St Ste C, Diamond Springs, CA 95619 Phone: 530-626-5810 Fax: 530-626-6560 | |
Brock Davidson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 509 Main St, Diamond Springs, CA 95619 Phone: 530-621-1051 |