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Organization
PAUL J. CHALLGREN DDS PC
Active
Organization
PAUL J. CHALLGREN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL JAMES CHALLGREN D.D.S. (PRESIDENT)
(765) 446-9606
Entity
Organization
Contact information
Practice address
170 PROFESSIONAL CT, LAFAYETTE, IN 47905-5153
(765) 446-9606
(765) 446-9699
Mailing address
170 PROFESSIONAL CT, LAFAYETTE, IN 47905-5153
(765) 446-9606
(765) 446-9699
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12007766A
IN
Other
Enumeration date
02/08/2007
Last updated
01/28/2009
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