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Individual
MICHAEL S GOLDWASSER
Active
Individual
MICHAEL S GOLDWASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
4061
NC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
036071951
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
38955
NC
Other
Enumeration date
07/24/2006
Last updated
12/28/2012
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