Organization
SHOCK KOKOMO, LLC
Active
Other names
Compassionate Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LIZ SHOCK (PRACTICE ADMINISTRATOR)
(317) 450-5797
Entity
Organization
Contact information
Practice address
310 E ALTO RD, KOKOMO, IN 46902-3674
(765) 864-2328
Mailing address
15437 STAFFORDSHIRE WAY, FISHERS, IN 46037-4644
(317) 450-5797
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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