Bloomfield Family Dental LLC
NPI #1275389181 in Bloomfield, Indiana
Provider Information
- NPI Number
- 1275389181
- Entity Type
- Organization
- Organization Name
- Bloomfield Family Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 30, 2024
- Last Updated
- Apr 30, 2024
Practice Location
- Address
- 200 E MAIN ST STE 3
- City
- Bloomfield
- State
- Indiana
- ZIP Code
- 47424-1452
- Phone
- (812) 384-3736
Authorized Official
- Name
- DR. PHILIP JAMES MIRISE, DDS
- Title
- DENTIST
- Phone
- (317) 670-6026
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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