Organization
GB WEST CARMEL LLC
Active
Other names
Gorman & Bunch Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HARTMAN (HR)
(317) 471-0100
Entity
Organization
Contact information
Practice address
3965 W 106TH ST, CARMEL, IN 46032-7750
(317) 471-0100
Mailing address
3965 W 106TH ST, CARMEL, IN 46032-7750
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
IN
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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