| Good To Grow Dental Center, Pllc | |
|
21781 Omega Ct Goshen IN 46528-7809 | |
| (574) 875-6531 | |
| Not Available |
| Full Name | Good To Grow Dental Center, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 21781 Omega Ct, Goshen, Indiana |
| Authorized Official Name and Position | Kirstina Gratz (MEMBER) |
| Authorized Official Contact | 3194308601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good To Grow Dental Center, Pllc 13618 Ranier Dr Middlebury IN 46540-8640 Ph: (641) 208-7953 | Good To Grow Dental Center, Pllc 21781 Omega Ct Goshen IN 46528-7809 Ph: (574) 875-6531 |
| NPI Number | 1174141741 |
|---|---|
| Provider Enumeration Date | 07/10/2020 |
| Last Update Date | 07/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174141741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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