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Organization · Orthodontics and Dentofacial Orthopedics Dentistry · Bloomington, IN

NPI
1992290746
Type
Organization (Type 2)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223X0400X
Enumerated
2018-06-25
Last updated
2018-06-25
Practice location
905 S College Mall Rd
Bloomington, IN 47401-6302
(812) 336-2448

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