| NPI | 1508376708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN TIMOTHY ROCHFORD Owner/Orthodontist 317-888-2827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12012198A) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |