Individual
BURTON V LARGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2705 S BERKLEY RD STE 4A, KOKOMO, IN 46902-8007
(765) 453-2619
(765) 453-5076
Mailing address
13150 BROOKSHIRE PKWY, CARMEL, IN 46033-4602
(317) 385-9906
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12010166A
IN
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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