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927 S Washington St Kokomo IN 46901 | |
(765) 868-7113 | |
(765) 868-7113 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 927 S Washington St, Kokomo, Indiana |
Authorized Official Name and Position | Amy Kroeger (INS COOD) |
Authorized Official Contact | 2175405100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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927 S Washington St Kokomo IN 46901 Ph: (765) 868-7113 | 927 S Washington St Kokomo IN 46901 Ph: (765) 868-7113 |
NPI Number | 1396957189 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1396957189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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