Organization
GOOD TO GROW DENTAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRSTINA GRATZ DDS (MEMBER)
(319) 430-8601
Entity
Organization
Contact information
Practice address
21781 OMEGA CT, GOSHEN, IN 46528-7809
(574) 875-6531
Mailing address
13618 RANIER DR, MIDDLEBURY, IN 46540-8640
(641) 208-7953
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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