Individual
DR. LORIE GOODPASTER BRINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3934 W 96TH ST, STE B, INDIANAPOLIS, IN 46268-2908
(317) 228-0195
(317) 228-0246
Mailing address
3934 W 96TH ST, STE B, INDIANAPOLIS, IN 46268-2908
(317) 228-0195
(317) 228-0246
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010346A
IN
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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