| NPI | 1528131364 |
|---|---|
| Doing Business As | COSMETIC DENTISTRY INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | CRAIG P GOLDIN Authorized Official 248-519-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-11-24 |