Organization
GB WESTFIELD
Active
Other names
Gorman & Bunch Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HARTMAN (MANAGER)
(765) 662-0018
Entity
Organization
Contact information
Practice address
16407 SOUTHPARK DR, SUITE A, WESTFIELD, IN 46074-8472
(317) 867-1133
Mailing address
617 N RIVER DR, MARION, IN 46952-2648
(765) 662-0018
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
89
IN
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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