Jack Everett Goris, D.D.S.
NPI #1710037791 in Logansport, Indiana
Provider Information
- NPI Number
- 1710037791
- Entity Type
- Individual
- Name
- Jack Everett Goris, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jan 11, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1821 CHASE RD
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947-1200
- Phone
- (574) 753-4542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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