| NPI | 1275701369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY ALLEN KLOPENSTINE Owner/Dentist 574-272-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009913A) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |