| NPI | 1033274071 |
|---|---|
| Doing Business As | BOURBON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NICOLE LYNN CHRISTY Owner 574-342-4385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-07-15 |