Chesterton Family Dental

NPI #1295219368 in Chesterton, Indiana

Provider Information

NPI Number
1295219368
Entity Type
Organization
Organization Name
Chesterton Family Dental
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 24, 2018
Last Updated
Sep 24, 2018

Practice Location

Address
751 E PORTER AVE STE 1
State
Indiana
ZIP Code
46304-9111
Phone
(219) 929-9289

Authorized Official

Name
DR. MYSTIE PIETERS, DDS
Title
DENTIST
Phone
(219) 929-9289

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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