| Poplar Pediatric Dentistry Llc | |
|
1667 N Lebanon St Lebanon IN 46052-1515 | |
| (317) 939-6558 | |
| Not Available |
| Full Name | Poplar Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1667 N Lebanon St, Lebanon, Indiana |
| Authorized Official Name and Position | Katelyn Brauer (OWNER) |
| Authorized Official Contact | 3179396558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poplar Pediatric Dentistry Llc 6828 W Stonegate Dr Zionsville IN 46077-8023 Ph: (317) 939-6558 | Poplar Pediatric Dentistry Llc 1667 N Lebanon St Lebanon IN 46052-1515 Ph: (317) 939-6558 |
| NPI Number | 1124804042 |
|---|---|
| Provider Enumeration Date | 09/06/2023 |
| Last Update Date | 01/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124804042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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