Organization
GOSHEN FAMILY & COSMETIC DENTISTRY, INC
Active
Other names
Goshen Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DEAL DDS (PRESIDENT)
(574) 534-5528
Entity
Organization
Contact information
Practice address
1625 SUNNYFIELD DR, GOSHEN, IN 46526-9264
(574) 534-5582
(574) 534-8146
Mailing address
1625 SUNNYFIELD DR, GOSHEN, IN 46526-9264
(574) 534-5582
(574) 534-8146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010108
IN
1223G0001X
General Practice Dentistry
12010143
IN
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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