TISA LADD

KOKOMO, IN
NPI1518980853
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  7655)
Enumeration Date2006-07-26
Last Update Date2007-07-08
Business Address
Dr. TISA LADD
2333 W LINCOLN RD
KOKOMO, IN 46902-8012
Phone number: 765-455-0085
Mailing Address
Dr. TISA LADD
10624 W 100 S
RUSSIAVILLE, IN 46979-9750
Phone number: 765-883-7680
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