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Organization

CRAWFORDSVILLE ORAL SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRETT HENRIKSON DDS (OWNER)
(765) 807-0230
Entity
Organization

Contact information

Practice address
408 W MARKET ST, CRAWFORDSVILLE, IN 47933-1600
(765) 807-0230
Mailing address
408 W MARKET ST, CRAWFORDSVILLE, IN 47933-1600
(765) 807-0230

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1201055A
IN

Other

Enumeration date
01/28/2011
Last updated
01/28/2011
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