Organization
CHESTERTON FAMILY DENTAL
Active
Other names
Chesterton Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYSTIE PIETERS DDS (DENTIST)
(219) 929-9289
Entity
Organization
Contact information
Practice address
751 E PORTER AVE STE 1, CHESTERTON, IN 46304-9111
(219) 929-9289
Mailing address
751 E PORTER AVE STE 1, CHESTERTON, IN 46304-9111
(219) 929-9289
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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