NPI | 1114041266 |
---|---|
Doing Business As | UNIVERSAL DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | RONALD S. GOODMAN Dentist 586-574-2620 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MI 015034) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2020-08-22 |