Organization
SMITH-BRAUER DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY E SMITH (SECRETARY)
(317) 585-0005
Entity
Organization
Contact information
Practice address
5625 CASTLE CREEK PARKWAY N. DRIVE, INDIANAPOLIS, IN 46250-4304
(317) 585-0005
Mailing address
5625 CASTLE CREEK PARKWAY N. DRIVE, INDIANAPOLIS, IN 46250-4304
(317) 585-0005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12006427A
IN
122300000X
Dentist
12010538A
IN
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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