Individual
DR. MYSTIE PIETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
751 E PORTER AVE, SUITE 1, CHESTERTON, IN 46304-9110
(219) 929-9289
Mailing address
751 E PORTER AVE, SUITE 1, CHESTERTON, IN 46304-9110
(219) 929-9289
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010411A
IN
Other
Enumeration date
04/12/2007
Last updated
05/02/2016
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