Organization
PKR ENDODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP KARL RADTKE D.D.S. (PRESIDENT)
(219) 879-2300
Entity
Organization
Contact information
Practice address
8809 W 400 N, MICHIGAN CITY, IN 46360-9330
(219) 879-2300
(219) 879-6420
Mailing address
8809 W 400 N, MICHIGAN CITY, IN 46360-9330
(219) 879-2300
(219) 879-6420
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12009839A
IN
Other
Enumeration date
10/09/2006
Last updated
08/22/2020
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