Individual
MR. GEORGE THOMAS GOODIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
19075
CA
1223E0200X
Endodontics
Primary
2901008572
MI
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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