| NPI | 1205377694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRWIN ARNOLD GOODMAN Dentist 248-547-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 14084) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |