Organization
GB FISHERS
Active
Other names
Gorman & Bunch Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY HARTMAN (HR)
(765) 662-0018
Entity
Organization
Contact information
Practice address
13752 LAKERIDGE DR, FISHERS, IN 46037-7608
(317) 576-9400
Mailing address
14555 HAZEL DELL PKWY, CARMEL, IN 46033-7000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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