Organization
AFFORDABLE DENTURES - CLIO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY A GOODMAN DDS (OWNER)
(810) 686-1277
Entity
Organization
Contact information
Practice address
5105 W VIENNA RD, SUITE H, CLIO, MI 48420-2811
(810) 686-1277
(810) 686-1582
Mailing address
5105 W VIENNA RD, SUITE H, CLIO, MI 48420-2811
(810) 686-1277
(810) 686-1582
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1966258
—
MI
Enumeration date
11/14/2010
Last updated
12/03/2012
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