Organization · Type 2 NPI

Shock Kokomo, LLC

Dental Clinic/Center · Kokomo, IN

NPI number 1528780418 Active

Practice location

310 E Alto Rd
Kokomo, IN 46902-3674

Call (765) 864-2328 Map

Mailing address

15437 Staffordshire Way
Fishers, IN 46037-4644

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1528780418

Shock Kokomo, LLC's National Provider Identifier is 1528780418, issued on Sep 16, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Kokomo, IN. The record was last updated on Sep 16, 2022.