JOHN E. GOODRICH, D.D.S.
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1679864094- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 450 AIRBASE RD, MOUNTAIN HOME, ID, 836473483
- Phone
- (208) 587-3314
- Fax
- (208) 587-3921
Specialties & Taxonomies
Dentist
Primary License: ID #D-2090