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Organization

C W BARTHOLOMEW, DDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES W BARTHOLOMEW JR. DDS (PRACTICE OWNER)
(765) 453-0291
Entity
Organization

Contact information

Practice address
3415 S LAFOUNTAIN ST, SUITE C, KOKOMO, IN 46902-3802
(765) 453-0291
Mailing address
3415 S LAFOUNTAIN ST, SUITE C, KOKOMO, IN 46902-3802
(765) 453-0291

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12009183B
IN

Other

Enumeration date
06/29/2016
Last updated
06/29/2016
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