Immediate Dental Care
Dentist in Kokomo, IN. Organization (NPI-2).
NPI number1831925247
StatusActive
Last updated in NPPESSep 11, 2024
Details
- NPI
- 1831925247
- Entity type
- Organization (NPI-2)
- Legal business name
- Immediate Dental Care
- Organization subpart
- No
- Enumeration date
- Sep 11, 2024
- Certification date
- Sep 11, 2024
- Last updated
- Sep 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
3537 S Lafountain StSuite A
Kokomo, IN 46902-3804
Phone 765-252-4041
Mailing address
3537 S Lafountain St Ste AKokomo, IN 46902-3804
Authorized official
Ossama Elbarawy
Owner
3177013564
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