# IMMEDIATE DENTAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831925247
- **Authorized official:** DR. OSSAMA ELBARAWY DDS (OWNER)
- **Authorized official phone:** (317) 701-3564

## Contact information

- **Practice address:** 3537 S LAFOUNTAIN ST, SUITE A, KOKOMO, IN 46902-3804
- **Practice address phone:** (765) 252-4041
- **Mailing address:** 3537 S LAFOUNTAIN ST STE A, KOKOMO, IN 46902-3804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2024
- **Last updated:** 09/11/2024