Individual
DR. MICHAEL DOUGLAS GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
474 N ROVER RD, WILLIAMSON, GA 30292-3754
(770) 227-4606
Mailing address
474 N ROVER RD, WILLIAMSON, GA 30292-3754
(770) 227-4606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8400
GA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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