| NPI | 1174402713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ANNE HOFFMAN Owner 260-341-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |