| NPI | 1639057789 |
|---|---|
| Doing Business As | ATRIUM DENTAL BLOOMINGTON |
| Entity Type | Organization |
| Authorized Contact | NICKOLAUS M WEISS Owner 812-279-9767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |