NPI | 1710748504 |
---|---|
Doing Business As | BUMBLE KIDS PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | HOLLY CLARK President 317-752-4719 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2024-01-18 |
Last Update Date | 2024-01-18 |