Individual
DR. KATHERINE BLAIR BUMGARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
8101 E US HIGHWAY 36 STE A, AVON, IN 46123-8082
(317) 561-0090
(317) 272-6994
Mailing address
8101 E US HIGHWAY 36 STE A, AVON, IN 46123-8082
(317) 561-0090
(317) 272-6994
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12012042A
IN
Other
Enumeration date
05/29/2013
Last updated
11/18/2019
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