Organization
GD MI J&G-NOVI PLLC
Active
Other names
Goldstein Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
23895 NOVI RD STE 500, NOVI, MI 48375-0202
(248) 374-2273
Mailing address
23895 NOVI RD STE 500, NOVI, MI 48375-0202
(248) 374-2273
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/25/2022
Last updated
11/25/2022
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