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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