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Individual

DR. TED K. BRAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5625 CASTLE CREEK PARKWAY NORTH DRIVE, INDIANAPOLIS, IN 46250
(317) 585-0005
Mailing address
5625 CASTLE CREEK PARKWAY NORTH DRIVE, INDIANAPOLIS, IN 46250
(317) 585-0005

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010538A
IN

Other

Enumeration date
06/01/2007
Last updated
07/08/2007
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