Organization
CHD, LLC
Active
Other names
Crawfordsville Hometown Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON STAFFORD DDS (OWNER)
(507) 208-3987
Entity
Organization
Contact information
Practice address
510 E MARKET ST, CRAWFORDSVILLE, IN 47933-1817
(507) 208-3987
Mailing address
510 E MARKET ST, CRAWFORDSVILLE, IN 47933-1817
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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