| Kokomo Oral Implantology | |
|
315 W Lincoln Rd Suite B Kokomo IN 46902-3850 | |
| (765) 453-7692 | |
| (765) 453-7694 |
| Full Name | Kokomo Oral Implantology |
|---|---|
| Speciality | Dentist |
| Location | 315 W Lincoln Rd, Kokomo, Indiana |
| Authorized Official Name and Position | Amy Kroeger (INS COOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kokomo Oral Implantology 315 W Lincoln Rd Suite B Kokomo IN 46902-3850 Ph: (765) 453-7692 | Kokomo Oral Implantology 315 W Lincoln Rd Suite B Kokomo IN 46902-3850 Ph: (765) 453-7692 |
| NPI Number | 1497954622 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 07/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497954622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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