| NPI | 1598034894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY KLOPENSTINE President/Dentist Owner 574-217-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12009913A) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |