# PERSONALIZED DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306080734
- **Authorized official:** CINDY KIRBY DDS (OWNER)
- **Authorized official phone:** (219) 678-0485

## Contact information

- **Practice address:** 1411 S WOODLAND AVE STE F, MICHIGAN CITY, IN 46360-7170
- **Practice address phone:** (219) 872-4151
- **Mailing address:** 1411 S WOODLAND AVE STE F, MICHIGAN CITY, IN 46360-7170
- **Mailing address phone:** (219) 872-4151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8590 | IN | Yes |

## Other

- **Enumeration date:** 04/29/2009
- **Last updated:** 04/29/2009