| NPI | 1497954622 |
|---|---|
| Doing Business As | KOKOMO ORAL IMPLANTOLOGY |
| Entity Type | Organization |
| Authorized Contact | AMY KROEGER Ins Coor 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |