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Crossroads Family Dentistry

Dentist, General Practice in Trafalgar, IN. Organization (NPI-2).

NPI number1629520259
StatusActive
Last updated in NPPESOct 31, 2016

Details

NPI
1629520259
Entity type
Organization (NPI-2)
Legal business name
Crossroads Family Dentistry
Organization subpart
No
Enumeration date
Oct 31, 2016
Last updated
Oct 31, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice12010956AINYes

Practice location

702 W Trafalgar Pointe Way
Trafalgar, IN 46181

Phone 720-982-8766

Mailing address

702 W Trafalgar Pointe Way
Trafalgar, IN 46181

Authorized official

Pooja Kumar
Dentist
7209828766

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