Organization
LADD DENTAL GROUP OF WABASH, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA NELSON (FINANCE DIRECTOR)
(765) 455-0085
Entity
Organization
Contact information
Practice address
1903 ALBER ST, WABASH, IN 46992-1045
(260) 225-0527
Mailing address
2333 W LINCOLN RD, KOKOMO, IN 46902-8012
(765) 455-0085
(765) 455-6839
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007486
IN
Other
Enumeration date
11/21/2011
Last updated
03/20/2024
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