LOGAN CHARLES GOODRICH

FORT WAYNE, IN
NPI1225654882
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12013386A)
Enumeration Date2020-06-19
Last Update Date2020-06-19
Business Address
Dr. LOGAN CHARLES GOODRICH DMD
1234 E DUPONT RD STE 4
FORT WAYNE, IN 46825-1545
Phone number: 260-490-3495
Mailing Address
Dr. LOGAN CHARLES GOODRICH DMD
8429 HUNTERS KNOLL RUN
FORT WAYNE, IN 46825-6406
Phone number: 260-515-8864
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