Organization
FINE & GOODMAN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAY GOODMAN DDS (OWNER)
(718) 261-6303
Entity
Organization
Contact information
Practice address
12301 82ND RD, KEW GARDENS, NY 11415-1601
(718) 261-6303
(718) 261-0307
Mailing address
12301 82ND RD, KEW GARDENS, NY 11415-1601
(718) 261-6303
(718) 261-0307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
031052
NY
Other
Enumeration date
08/12/2006
Last updated
08/22/2020
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