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Organization
GOLNICK PEDIATRIC DENTAL ASSOCIATES
Active
Organization
GOLNICK PEDIATRIC DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON M GOLNICK DDS, MS (PEDIATRIC DENTIST)
(313) 292-7777
Entity
Organization
Contact information
Practice address
21213 ECORSE RD, TAYLOR, MI 48180-1834
(313) 292-7777
(313) 292-7515
Mailing address
21213 ECORSE RD, TAYLOR, MI 48180-1834
(313) 292-7777
(313) 292-7515
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2901016484
MI
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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