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Organization
CROSSROADS PEDIATRIC DENTISTRY PC
Active
Organization
CROSSROADS PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL F BIGLER DDS (PRESIDENT)
(574) 875-6531
Entity
Organization
Contact information
Practice address
21781 OMEGA CT, GOSHEN, IN 46528-7809
(574) 875-6531
(574) 875-8256
Mailing address
21781 OMEGA CT, GOSHEN, IN 46528-7809
(574) 875-6531
(574) 875-8256
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12007759
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100065260
—
IN
Enumeration date
09/21/2006
Last updated
02/07/2013
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