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1568819969
MICHAEL LOGAN GOAD
SPEEDWAY, IN
NPI
1568819969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12012469A)
Enumeration Date
2016-05-16
Last Update Date
2016-05-16
Business Address
DR. MICHAEL LOGAN GOAD D.D.S.
5945 CRAWFORDSVILLE RD STE J
SPEEDWAY, IN 46224-3721
Phone number: 317-762-3502
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Mailing Address
DR. MICHAEL LOGAN GOAD D.D.S.
5945 CRAWFORDSVILLE RD STE J
SPEEDWAY, IN 46224-3721
Phone number: 317-762-3502
Copy
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