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1063629988
BRETT A HENRIKSON
LAFAYETTE, IN
NPI
1063629988
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IN 12010155A)
Enumeration Date
2007-05-17
Last Update Date
2011-02-24
Business Address
-- BRETT A HENRIKSON D.D.S.
2 EXECUTIVE DR STE A
LAFAYETTE, IN 47905-4859
Phone number: 765-807-0230
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Mailing Address
-- BRETT A HENRIKSON D.D.S.
2 EXECUTIVE DR STE A
LAFAYETTE, IN 47905-4859
Phone number: 765-807-0230
Copy
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