Organization
CRYSTAL VALLEY FAMILY DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID P REGAN DDS (PRESIDENT)
(574) 825-4040
Entity
Organization
Contact information
Practice address
1004 SPRING ARBOR DR, MIDDLEBURY, IN 46540-9493
(574) 825-4040
(574) 825-3377
Mailing address
1004 SPRING ARBOR DR, MIDDLEBURY, IN 46540-9493
(574) 825-4040
(574) 825-3377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010372A
IN
Other
Enumeration date
08/06/2006
Last updated
08/22/2020
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