Organization · Type 2 NPI
Goodwine Dental, LLC
Dental Clinic/Center · Indianapolis, IN
NPI number
1376218909
Active
Practice location
210 E 91st St Ste A
Indianapolis, IN 46240-1570
Fax (317) 818-7779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1376218909
Goodwine Dental, LLC's National Provider Identifier is 1376218909, issued on Aug 16, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 16, 2021.