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1720346984
CHARLES MICHAEL GOODMAN
WARREN, MI
NPI
1720346984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MI 8371)
Enumeration Date
2012-04-25
Last Update Date
2012-04-25
Business Address
Dr. CHARLES MICHAEL GOODMAN D.D.S.
28282 DEQUINDRE RD
WARREN, MI 48092-5604
Phone number: 586-574-2620
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Mailing Address
Dr. CHARLES MICHAEL GOODMAN D.D.S.
28282 DEQUINDRE RD
WARREN, MI 48092-5604
Phone number: 586-574-2620
Copy
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