| NPI | 1396278081 |
|---|---|
| Doing Business As | GORMAN & BUNCH ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | TIFFANY HARTMAN Hr 317-471-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |