| Breathe And Smile Studio Llc | |
| 
					2046 Dorchester Ct Goshen IN 46526-6534  | |
| (574) 533-2469 | |
| (574) 537-1791 | 
| Full Name | Breathe And Smile Studio Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 2046 Dorchester Ct, Goshen, Indiana | 
| Authorized Official Name and Position | Gabrielle M. Johnson (OWNER DENTIST) | 
| Authorized Official Contact | 5745332469 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Breathe And Smile Studio Llc 2046 Dorchester Ct Goshen IN 46526-6534 Ph: (574) 533-2469  | Breathe And Smile Studio Llc 2046 Dorchester Ct Goshen IN 46526-6534 Ph: (574) 533-2469  | 
| NPI Number | 1114735669 | 
|---|---|
| Provider Enumeration Date | 12/30/2024 | 
| Last Update Date | 12/30/2024 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1114735669 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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