Affordable Dentures - Clio, P.c.

NPI #1548561095 in Clio, Michigan

Provider Information

NPI Number: 1548561095
Entity Type: Organization
Organization Name: Affordable Dentures - Clio, P.c.
Primary Specialty: Dentist
Enumeration Date: Nov 14, 2010
Last Updated: Dec 3, 2012

Practice Location

Address: 5105 W VIENNA RD
Address 2: SUITE H
City: Clio
State: Michigan
ZIP Code: 48420-2811
Phone: (810) 686-1277

Authorized Official

Name: DR. BEVERLY A GOODMAN, DDS
Title: OWNER
Phone: (810) 686-1277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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