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Organization

RICHARD GOLDEN DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD M GOLDEN (OWNER)
(313) 371-9880
Entity
Organization

Contact information

Practice address
18525 MOROSS RD, DETROIT, MI 48224-1019
(313) 371-9880
(313) 527-2559
Mailing address
18525 MOROSS RD, DETROIT, MI 48224-1019
(313) 371-9880
(313) 527-2559

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901009940
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3119398
MI
Enumeration date
02/13/2012
Last updated
02/13/2012
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