Organization
GOODIS ENDODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE T GOODIS DDS (OWNER)
(313) 886-4040
Entity
Organization
Contact information
Practice address
20175 MACK AVENUE, GROSSE POINTE WOODS, MI 48236
(313) 886-4040
(313) 886-4481
Mailing address
20175 MACK AVENUE, GROSSE POINTE WOODS, MI 48236
(313) 886-4040
(313) 886-4481
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2901008572
MI
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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