Organization
GOSSWEILER PERIODONTICS & IMPLANTOLOGY
Active
Other names
Integrative Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KEVIN GOSSWEILER D.D.S. (PRESIDENT)
(317) 329-9291
Entity
Organization
Contact information
Practice address
7537 W 38TH ST, INDIANAPOLIS, IN 46254-2937
(317) 329-9291
(317) 329-1031
Mailing address
7537 W 38TH ST, INDIANAPOLIS, IN 46254-2937
(317) 329-9291
(317) 329-1031
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12008973
IN
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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