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Organization
LADD DENTAL GROUP OF MCCORDSVILLE, INC.
Active
Organization
LADD DENTAL GROUP OF MCCORDSVILLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY LADD (CEO)
(765) 455-0085
Entity
Organization
Contact information
Practice address
6653 W BROADWAY, MCCORDSVILLE, IN 46055-9558
(765) 455-0085
Mailing address
2333 W LINCOLN RD, KOKOMO, IN 46902-8012
(765) 455-0085
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IN
Other
Enumeration date
06/28/2017
Last updated
08/02/2022
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