NPI | 1972922151 |
---|---|
Doing Business As | BLUFF CREEK FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | MARK H ROSENBERG Owner 317-422-4944 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2014-04-15 |
Last Update Date | 2014-04-21 |