Personalized Dental Center

NPI #1306080734 in Michigan City, Indiana

Provider Information

NPI Number: 1306080734
Entity Type: Organization
Organization Name: Personalized Dental Center
Primary Specialty: Dentist
Enumeration Date: Apr 29, 2009
Last Updated: Apr 29, 2009

Practice Location

Address: 1411 S WOODLAND AVE STE F
City: Michigan City
State: Indiana
ZIP Code: 46360-7170
Phone: (219) 872-4151

Authorized Official

Name: CINDY KIRBY, DDS
Title: OWNER
Phone: (219) 678-0485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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