Organization
UNIVERSAL DENTAL GROUP P.L.L.C.
Active
Other names
Universal Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD S. GOODMAN DDS (DENTIST)
(586) 574-2620
Entity
Organization
Contact information
Practice address
28478 DEQUINDRE RD, WARREN, MI 48092-5605
(586) 574-2620
(586) 574-3015
Mailing address
28478 DEQUINDRE, WARREN, MI 48092-5605
(586) 574-2620
(586) 574-3015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015034
MI
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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