NPI 1750606059
Kool Smiles In-3, PC
Practice location
- Address
- 1021 W 5th Ave, Gary, IN 46402-1703
- Phone
- (800) 920-9947
- Mailing address
- 400 Galleria Pkwy SE STE 800, Atlanta, GA 30339-6413
Authorised official
- Name
- David M. Vieth
- Title
- Secretary/Treasurer
- Phone
- (770) 916-5036
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1750606059
- Entity type
- Organization
- NPI issued
- 30 Mar 2010
- Record last updated
- 22 Mar 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.