Individual
DR. CHARLES MORRIS SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
3415 S LAFOUNTAIN ST, STE A, KOKOMO, IN 46902
(765) 453-2300
(765) 453-3348
Mailing address
3415 S LAFOUNTAIN ST, STE A, KOKOMO, IN 46902
(765) 453-2300
(765) 453-3348
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12006533A
IN
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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