Organization
PERSONALIZED DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY KIRBY DDS (OWNER)
(219) 678-0485
Entity
Organization
Contact information
Practice address
1411 S WOODLAND AVE STE F, MICHIGAN CITY, IN 46360-7170
(219) 872-4151
Mailing address
1411 S WOODLAND AVE STE F, MICHIGAN CITY, IN 46360-7170
(219) 872-4151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8590
IN
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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