Individual
DR. MARC E. GOLDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5408 W FRIENDLY AVE, GREENSBORO, NC 27410-4367
(336) 292-0411
(336) 292-9505
Mailing address
811 PEBBLE DR, GREENSBORO, NC 27410-4533
(336) 292-0411
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5292
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93258
—
NC
Enumeration date
07/06/2006
Last updated
07/08/2007
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