# RICHARD GOLDEN DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699048249
- **Authorized official:** RICHARD M GOLDEN (OWNER)
- **Authorized official phone:** (313) 371-9880

## Contact information

- **Practice address:** 18525 MOROSS RD, DETROIT, MI 48224-1019
- **Practice address phone:** (313) 371-9880
- **Practice address fax:** (313) 527-2559
- **Mailing address:** 18525 MOROSS RD, DETROIT, MI 48224-1019
- **Mailing address phone:** (313) 371-9880
- **Mailing address fax:** (313) 527-2559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901009940 | MI | Yes |

## Other

- **Enumeration date:** 02/13/2012
- **Last updated:** 02/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3119398 | — | MI |