Organization
POPLAR PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATELYN BRAUER DDS (OWNER)
(317) 939-6558
Entity
Organization
Contact information
Practice address
6828 W STONEGATE DR, ZIONSVILLE, IN 46077-8023
(317) 939-6558
Mailing address
6828 W STONEGATE DR, ZIONSVILLE, IN 46077-8023
(317) 939-6558
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/14/2020
Last updated
08/30/2023
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