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Organization
HANNAH LEEZER DDS, LLC
Active
Organization
HANNAH LEEZER DDS, LLC
Active
Other names
Evergreen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANNAH ELIZABETH GROH DDS (CEO)
(317) 213-7439
Entity
Organization
Contact information
Practice address
4715 STATESMEN DR STE G, INDIANAPOLIS, IN 46250-1997
(317) 213-7439
Mailing address
1515 STARCROSS LN APT 105, CARMEL, IN 46280-3018
(317) 213-7439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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