| NPI | 1568761575 |
|---|---|
| Doing Business As | CLIFTY FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | RONNIE JAY WEHNER Managing Member/Business Manager 812-273-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12009378A) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12011362A) |
| 1223G0001X Dentist, General Practice (Licence: IN 12010214A) | |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |