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Organization

DENTAL CENTER OF GOSHEN PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization

Contact information

Practice address
4024 ELKHART RD, GOSHEN, IN 46526-5807
(574) 534-7577
Mailing address
4024 ELKHART RD, GOSHEN, IN 46526-5807

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
12/09/2011
Last updated
12/09/2011
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