Organization
GORMAN CENTER FOR ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY HARTMAN (PERSONNEL DIRECTOR)
(765) 662-0018
Entity
Organization
Contact information
Practice address
617 N RIVER DR, MARION, IN 46952-2648
(765) 662-0018
Mailing address
617 N RIVER DR, MARION, IN 46952-2648
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
54000033A
IN
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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