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Organization
UNIVERSAL DENTAL GROUP P.L.L.C.
Active
Organization
UNIVERSAL DENTAL GROUP P.L.L.C.
Active
Other names
Universal Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD S. GOODMAN DDS (DENTIST)
(586) 574-2620
Entity
Organization
Contact information
Practice address
28478 DEQUINDRE RD, WARREN, MI 48092-5605
(586) 574-2620
(586) 574-3015
Mailing address
28478 DEQUINDRE, WARREN, MI 48092-5605
(586) 574-2620
(586) 574-3015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015034
MI
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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