| Personalized Dental Center | |
|
1411 S Woodland Ave Ste F Michigan City IN 46360-7170 | |
| (219) 872-4151 | |
| Not Available |
| Full Name | Personalized Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 1411 S Woodland Ave Ste F, Michigan City, Indiana |
| Authorized Official Name and Position | Cindy Kirby (OWNER) |
| Authorized Official Contact | 2196780485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Personalized Dental Center 1411 S Woodland Ave Ste F Michigan City IN 46360-7170 Ph: (219) 872-4151 | Personalized Dental Center 1411 S Woodland Ave Ste F Michigan City IN 46360-7170 Ph: (219) 872-4151 |
| NPI Number | 1306080734 |
|---|---|
| Provider Enumeration Date | 04/29/2009 |
| Last Update Date | 04/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306080734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8590 (Indiana) | Primary |
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