Individual
ANASTASIA GOLODAEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4800 W SMITH VALLEY RD STE K, GREENWOOD, IN 46142-9195
(317) 882-7800
Mailing address
4800 W SMITH VALLEY RD STE K, GREENWOOD, IN 46142-9195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014448A
IN
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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