Irwin Goodman

NPI #1205377694 in Hazel Park, Michigan

Provider Information

NPI Number: 1205377694
Entity Type: Organization
Organization Name: Irwin Goodman
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 17, 2017
Last Updated: Mar 17, 2017

Practice Location

Address: 23941 JOHN R RD
City: Hazel Park
State: Michigan
ZIP Code: 48030-1416
Phone: (248) 547-2055

Authorized Official

Name: DR. IRWIN ARNOLD GOODMAN, DDS
Title: DENTIST
Phone: (248) 547-2055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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