Resid Goljo
Dentist in Miami, FL. Individual provider (NPI-1).
NPI number1083100713
StatusActive
Last updated in NPPESJul 5, 2018
Details
- NPI
- 1083100713
- Entity type
- Individual (NPI-1)
- Name
- Resid Goljo
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 5, 2018
- Last updated
- Jul 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN23648 | FL | Yes |
Practice location
677 Ne 24th St Apt 204Miami, FL 33137-4737
Phone 516-250-9832
Mailing address
1452 4th StWest Babylon, NY 11704-4754
Phone 516-250-9832
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