# WEST SIDE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Klondike Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003928789
- **Authorized official:** JOHN PIPERIS JAMES DDS (PRESIDENT)
- **Authorized official phone:** (765) 463-6726

## Contact information

- **Practice address:** 3412 KLONDIKE RD, WEST LAFAYETTE BRA, IN 47906-5218
- **Practice address phone:** (765) 463-6726
- **Mailing address:** 3412 KLONDIKE RD, WEST LAFAYETTE BRA, IN 47906-5218
- **Mailing address phone:** (765) 463-6726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 12009311 | IN | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020