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Shock Kokomo, Llc
Dental Clinic/Center in Kokomo, Indiana
NPI 1528780418

Shock Kokomo, Llc is a Dental Clinic/Center based in Fishers, IN and is specialized in Dental. Shock Kokomo, Llc practices in Kokomo, IN. The NPI Number for Shock Kokomo, Llc is 1528780418 and holds a License No. (Indiana).

The current practice location address for Shock Kokomo, Llc is 310 E Alto Rd, Kokomo, IN and can be reached out via phone at 765-864-2328.

Location: 310 E Alto Rd, Kokomo, IN, 46037-4644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528780418
Provider Name
Shock Kokomo, Llc
Credential
Provider Entity Type
Organization
Address
310 E Alto Rd, Kokomo, IN, 46037-4644
Phone Number
765-864-2328
Fax Number
Provider Enumeration Date
09/16/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
310 E Alto Rd
City
Kokomo
State
Indiana
Zip
46902-3674
Phone Number
765-864-2328
Fax Number
person
Provider Business Mailing Address Details
Address
310 E Alto Rd
City
Kokomo
State
Indiana
Zip
46902-3674
Phone Number
765-864-2328
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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