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Dr. Donald Lee Goudy JR., DDS,INC
General Practice Dentistry in San Jose, California
NPI 1649360603

Donald Lee Goudy JR. is a General Practice Dentistry based in San Jose, CA and is specialized in General Practice. Donald Lee Goudy JR. practices in San Jose, CA and has the professional credentials of DDS,INC. The NPI Number for Donald Lee Goudy JR. is 1649360603 and holds a License No. 41013 (California).

The current practice location address for Donald Lee Goudy JR. is 1050 S Bascom Ave, San Jose, CA and can be reached out via phone at 408-995-0400 and via fax at 408-995-0415.

Location: 1050 S Bascom Ave, San Jose, CA, 95128-3549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649360603
Provider Name
Donald Lee Goudy JR.
Credential
DDS,INC
Provider Entity Type
Individual
Gender
Male
Address
1050 S Bascom Ave, San Jose, CA, 95128-3549
Phone Number
408-995-0400
Fax Number
408-995-0415
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1050 S Bascom Ave
City
San Jose
State
California
Zip
95128-3549
Phone Number
408-995-0400
Fax Number
408-995-0415
person
Provider Business Mailing Address Details
Address
1050 S Bascom Ave
City
San Jose
State
California
Zip
95128-3549
Phone Number
408-995-0400
Fax Number
408-995-0415
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
41013 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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