Organization · Type 2 NPI
Mark A. Goodfellow, D.d.s., Inc.
Dental Clinic/Center · Santa Ana, CA
NPI number
1649436478
Active
Practice location
2427 N Tustin Ave Ste A
Santa Ana, CA 92705-1655
Fax (714) 647-9576
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 30534 (CA) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1649436478
Mark A. Goodfellow, D.d.s., Inc.'s National Provider Identifier is 1649436478, issued on Jul 31, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Santa Ana, CA. The record was last updated on Jul 31, 2008.