NPI 1003338575

Lacrima M Goldberg, DMD

Practitioner General Practice Dentistry Madison, WI

Practice location

Address: 826 Atlas Ave, Madison, WI 53714
Phone: (954) 309-5786
Mailing address: 309 W Johnson St APT 1245, Madison, WI 53703-3766

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN1857596 (MA)

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Registry record

NPI: 1003338575
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2017
Record last updated: 7 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.