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Organization

MICHAEL S. GOODMAN, DDS, PC

Active
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Organization

MICHAEL S. GOODMAN, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL S GOODMAN D.D.S. (PRESIDENT)
(212) 593-1212
Entity
Organization

Contact information

Practice address
245 EAST 50TH STREET, C/O ELK DENTAL ASSOCIATES, NYC, NY 10022
(212) 593-1212
(212) 832-3014
Mailing address
85-15 67TH ROAD, REGO PARK, NY 11374
(917) 583-4545

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
030169
NY
1223G0001X
General Practice Dentistry
DDS030169
NY

Other

Enumeration date
10/17/2006
Last updated
03/21/2016
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