Organization
SANDERS PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J SANDERS DDS, MS (OWNER)
(317) 818-2200
Entity
Organization
Contact information
Practice address
13590 N MERIDIAN ST, SUITE 202, CARMEL, IN 46032-1555
(317) 818-2200
(317) 818-0555
Mailing address
13590 N MERIDIAN ST, SUITE 202, CARMEL, IN 46032-1555
(317) 818-2200
(317) 818-0555
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12009323A
IN
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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