GOODWINE DENTAL, LLC is a dental clinic center in Indianapolis, IN. GOODWINE DENTAL, LLC NPI is 1376218909. The provider is registered as an organization entity type.
The provider's business location address is:
210 E 91ST ST STE A
INDIANAPOLIS, IN
ZIP 46240-570
Phone: (317) 818-7777
Fax: (317) 818-7779
The provider's authorized official is Ronda Richelle Cox .
The authorized official title is Office Manager and has the following contact phone number (317) 818-7777.
The CLIA number assigned to this NPI record is 15D2235945 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/16/2021 and was last updated on 8/16/2021.