BLOOMINGTON ORAL SURGERY LLC

BLOOMINGTON, IN
NPI1841505252
Doing Business AsTIMOTHY J DEVITT, DMD
Entity TypeOrganization
Authorized ContactTIMOTHY DEVITT
Owner
812-332-2204
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IN  0652A)
Enumeration Date2010-08-10
Last Update Date2010-08-10
Business Address
BLOOMINGTON ORAL SURGERY LLC
857 S AUTO MALL RD
BLOOMINGTON, IN 47401-5447
Phone number: 812-332-2204
Mailing Address
BLOOMINGTON ORAL SURGERY LLC
857 S AUTO MALL RD
BLOOMINGTON, IN 47401-5447
Phone number: 812-332-2204