| Aegis Trusted Dentistry, P.c. | |
|
3560 Elkhart Rd Goshen IN 46526-5814 | |
| (574) 875-7711 | |
| (574) 875-7718 |
| Full Name | Aegis Trusted Dentistry, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3560 Elkhart Rd, Goshen, Indiana |
| Authorized Official Name and Position | Guy J Moore (OWNER/PRESIDENT) |
| Authorized Official Contact | 5748757711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aegis Trusted Dentistry, P.c. 3560 Elkhart Rd Goshen IN 46526-5814 Ph: (574) 875-7711 | Aegis Trusted Dentistry, P.c. 3560 Elkhart Rd Goshen IN 46526-5814 Ph: (574) 875-7711 |
| NPI Number | 1689360075 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689360075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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