| 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 |