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Organization

CZARKOWSKI PEDIATRIC DENTISTRY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KARA CZARKOWSKI DDS (PEDIATRIC DENTIST)
(317) 975-0824
Entity
Organization

Contact information

Practice address
1927 BROAD RIPPLE AVE, INDIANAPOLIS, IN 46220-2327
(317) 975-0824
Mailing address
1927 BROAD RIPPLE AVE, INDIANAPOLIS, IN 46220-2327
(317) 975-0824

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12011793A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201233470
IN
Enumeration date
12/08/2014
Last updated
12/08/2014
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