Individual
DR. ALBERTO VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2124 E BOULEVARD, KOKOMO, IN 46902-2401
(765) 454-9700
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008757A
IN
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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