Organization
KLOPENSTINE FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY KLOPENSTINE (PRESIDENT/DENTIST OWNER)
(574) 217-8170
Entity
Organization
Contact information
Practice address
52120 STATE ROAD 933, SOUTH BEND, IN 46637-3846
(574) 217-8170
Mailing address
52120 STATE ROAD 933, SOUTH BEND, IN 46637-3846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009913A
IN
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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