Organization
DENTAL PROFESSIONALS OF MICHIGAN, P.C.
Active
Other names
Cosmetic Dentistry Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG P GOLDIN DDS (AUTHORIZED OFFICIAL)
(248) 519-1919
Entity
Organization
Contact information
Practice address
3415 LIVERNOIS RD, TROY, MI 48083-5063
(248) 519-1919
(248) 519-1920
Mailing address
3415 LIVERNOIS RD, TROY, MI 48083-5063
(248) 519-1919
(248) 519-1920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
11/17/2006
Last updated
11/24/2023
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