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Organization

ALLAN L. GOINS JR. DDS, PSC

Active
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Organization

ALLAN L. GOINS JR. DDS, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLAN L GOINS JR. DDS (OWNER/DENTIST)
(812) 346-5451
Entity
Organization

Contact information

Practice address
67 LONG ST, NORTH VERNON, IN 47265-2313
(812) 346-5451
(812) 346-8456
Mailing address
67 LONG ST, NORTH VERNON, IN 47265-2313
(812) 346-5451
(812) 346-8456

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12007859A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194930A
—
IN
Enumeration date
06/05/2015
Last updated
06/05/2015
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