Most Relevant Information
Provider Data
NPI Number: | 1003332867 |
Provider Name: | BRANDON CASEY GOOCH DMD |
Entity Type: | Individual |
Taxonomy Code: | 1223P0221X |
Specialty: | Dentist |
License Number: | 33285 |
Most Important Dates
Enumeration Date: | 08/14/2017 |
Last Updated: | 05/07/2024 |
Provider Practice Location
3100 E ZORA ST
WEBB CITY
MO
648709770
Practice Location Phone/Fax
Phone: | 4172288286 |
Fax: |
Provider Mailing Location
2817 LOOP 250 FRONTAGE ROAD
SUITE B
MIDLAND
TX
79705
Provider Mailing Phone/Fax
Phone: | |
Fax: |