Golnick Pediatric Dental Associates

NPI #1548444102 in Taylor, Michigan

Provider Information

NPI Number: 1548444102
Entity Type: Organization
Organization Name: Golnick Pediatric Dental Associates
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 19, 2007
Last Updated: Dec 19, 2007

Practice Location

Address: 21213 ECORSE RD
City: Taylor
State: Michigan
ZIP Code: 48180-1834
Phone: (313) 292-7777

Authorized Official

Name: DR. JASON M GOLNICK, DDS, MS
Title: PEDIATRIC DENTIST
Phone: (313) 292-7777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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