KOKOMO IMPLANT AND ORAL SURGERY, LLC

KOKOMO, IN
NPI1992159552
Entity TypeOrganization
Authorized ContactWENDY S. BEARD
Office Manager
317-841-1100
Organization Subpart ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IN  12010961A)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IN  12012362A)
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IN  12007255A)
Enumeration Date2016-04-20
Last Update Date2016-04-20
Business Address
KOKOMO IMPLANT AND ORAL SURGERY, LLC
2008 WEST SYCAMORE STREET
KOKOMO, IN 46901-4112
Phone number: 795-452-0033
Mailing Address
KOKOMO IMPLANT AND ORAL SURGERY, LLC
9860 WESTPOINT DRIVE SUITE 100
INDIANAPOLIS, IN 46256-3398
Phone number: 317-841-1100