Organization
CHALLGREN DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK CHALLGREN DDS (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
122300000X
Dentist
Primary
54001793A
IN
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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