Individual
DR. RAPHAEL VITO GOLDSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23895 NOVI RD, STE 500, NOVI, MI 48375-0201
(248) 374-2273
(248) 349-5398
Mailing address
23895 NOVI RD, STE 500, NOVI, MI 48375-0201
(248) 374-2273
(248) 349-2273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015322
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1956373130
BCBSM
MI
Enumeration date
12/27/2005
Last updated
07/08/2007
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