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Individual

KERRY S. GOODIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
60 W MAIN ST, AUSTIN, IN 47102-1360
(812) 794-2255
Mailing address
PO BOX 70, 60 W MAIN ST, AUSTIN, IN 47102-0070
(812) 794-2255

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008972A
IN

Other

Enumeration date
09/11/2008
Last updated
03/15/2019
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