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Individual

DR. ROBERT L GOLDENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
5035 MAYFIELD RD, LYNDHURST, OH 44124-2688
(216) 382-5370
Mailing address
5035 MAYFIELD RD, LYNDHURST, OH 44124-2688

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-01-5089
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0311906
OH
Enumeration date
10/14/2006
Last updated
07/08/2007
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