| NPI | 1770054520 |
|---|---|
| Former Legal Business Name | J. GARY BISCHOFF, DDS |
| Entity Type | Organization |
| Authorized Contact | ASHWANI SHARMA Owner 317-771-9244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2021-03-17 |