Individual provider · Type 1 NPI
Kirstina Jessica Gratz, DDS
Pediatric Dentistry · Goshen, IN
NPI number
1083992689
Active
Practice location
21781 Omega Ct
Goshen, IN 46528-7809
Mailing address
13618 Ranier Dr
Middlebury, IN 46540-8640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 08858 (IA) |
| Pediatric Dentistry Primary | 1223P0221X | 12013407A (IN) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3 other providers at this address
Other pediatric dentistry providers in Goshen
About NPI 1083992689
Kirstina Jessica Gratz, DDS's National Provider Identifier is 1083992689, issued on Jul 30, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Goshen, IN. The record was last updated on Jul 10, 2020.