| NPI | 1770790149 |
|---|---|
| Doing Business As | GOSHEN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARK DEAL President 574-534-5528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010108) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12010143) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |