BRODY WAYNE GOODWINE

INDIANAPOLIS, IN
NPI1659800134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12012698A)
Enumeration Date2017-06-08
Last Update Date2017-06-08
Business Address
Dr. BRODY WAYNE GOODWINE DDS
7950 N SHADELAND AVE STE 200
INDIANAPOLIS, IN 46250-2692
Phone number: 317-596-9700
Mailing Address
Dr. BRODY WAYNE GOODWINE DDS
7950 N SHADELAND AVE STE 200
INDIANAPOLIS, IN 46250-2692
Phone number: 317-596-9700
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