Individual
DR. IRWIN ARNOLD GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23941 JOHN R., HAZEL PARK, MI 48030
(248) 547-2055
(248) 547-0054
Mailing address
23941 JOHN R., HAZEL PARK, MI 48030
(248) 547-2055
(248) 547-0054
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901014084
MI
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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