DANE E WALLSMITH

KOKOMO, IN
NPI1750421137
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12007395A)
Enumeration Date2007-02-07
Last Update Date2007-07-08
Business Address
-- DANE E WALLSMITH D.D.S.
3415 S LAFOUNTAIN ST SUITE D
KOKOMO, IN 46902-3802
Phone number: 765-453-3412
Mailing Address
-- DANE E WALLSMITH D.D.S.
3415 S LAFOUNTAIN ST SUITE D
KOKOMO, IN 46902-3802
Phone number: 765-453-3412
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