Organization
GLANDER ROCHFORD ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN TIMOTHY ROCHFORD DDS, MSD (OWNER/ORTHODONTIST)
(317) 888-2827
Entity
Organization
Contact information
Practice address
8445 S EMERSON AVE STE 102, INDIANAPOLIS, IN 46237-9597
(317) 888-2827
Mailing address
8445 S EMERSON AVE STE 102, INDIANAPOLIS, IN 46237-9597
(317) 888-2827
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12012198A
IN
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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