Individual
PAUL GOLDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
225 N NOTRE DAME AVE STE 3, SOUTH BEND, IN 46617-2836
(574) 287-2931
(574) 287-2921
Mailing address
51051 BELLCREST CIR, GRANGER, IN 46530-6956
(574) 291-1119
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007428A
IN
Other
Enumeration date
09/27/2006
Last updated
10/16/2007
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