Crawfordsville Oral Surgery

NPI #1053617746 in Crawfordsville, Indiana

Provider Information

NPI Number
1053617746
Entity Type
Organization
Organization Name
Crawfordsville Oral Surgery
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 28, 2011
Last Updated
Jan 28, 2011

Practice Location

Address
408 W MARKET ST
State
Indiana
ZIP Code
47933-1600
Phone
(765) 807-0230

Authorized Official

Name
BRETT HENRIKSON, DDS
Title
OWNER
Phone
(765) 807-0230

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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