| Dental Center Of Goshen Pllc | |
|
4024 Elkhart Rd Goshen IN 46526-5807 | |
| (574) 534-7577 | |
| Not Available |
| Full Name | Dental Center Of Goshen Pllc |
|---|---|
| Speciality | Dentist |
| Location | 4024 Elkhart Rd, Goshen, Indiana |
| Authorized Official Name and Position | Mike Cole (INSURANCE DIRECTOR) |
| Authorized Official Contact | 7277261611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Center Of Goshen Pllc 4024 Elkhart Rd Goshen IN 46526-5807 Ph: () - | Dental Center Of Goshen Pllc 4024 Elkhart Rd Goshen IN 46526-5807 Ph: (574) 534-7577 |
| NPI Number | 1013285766 |
|---|---|
| Provider Enumeration Date | 12/09/2011 |
| Last Update Date | 12/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013285766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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