# UNIVERSAL DENTAL GROUP P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Universal Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114041266
- **Authorized official:** DR. RONALD S. GOODMAN DDS (DENTIST)
- **Authorized official phone:** (586) 574-2620

## Contact information

- **Practice address:** 28478 DEQUINDRE RD, WARREN, MI 48092-5605
- **Practice address phone:** (586) 574-2620
- **Practice address fax:** (586) 574-3015
- **Mailing address:** 28478 DEQUINDRE, WARREN, MI 48092-5605
- **Mailing address phone:** (586) 574-2620
- **Mailing address fax:** (586) 574-3015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 015034 | MI | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 08/22/2020