| NPI | 1770190951 |
|---|---|
| Doing Business As | BLUFF CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER IBBERSON Dds/Owner 507-227-5549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2023-10-18 |