| Jp Dental - Kokomo Llc | |
|
2714 Rockford Ln Kokomo IN 46902-3204 | |
| (765) 453-9040 | |
| Not Available |
| Full Name | Jp Dental - Kokomo Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2714 Rockford Ln, Kokomo, Indiana |
| Authorized Official Name and Position | John Pasicznyk (MANAGER) |
| Authorized Official Contact | 7654539040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jp Dental - Kokomo Llc 2714 Rockford Ln Kokomo IN 46902-3204 Ph: () - | Jp Dental - Kokomo Llc 2714 Rockford Ln Kokomo IN 46902-3204 Ph: (765) 453-9040 |
| NPI Number | 1336592849 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 07/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336592849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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