Organization
KIDS SMILE INNOVATIONS LLC
Active
Other names
The Kid's Smile Place
Organization subpart
No
Provider details
NPI number
Authorized official
MS. APRIL D SPIVEY (PRACTICE MANAGER)
(767) 617-4750
Entity
Organization
Contact information
Practice address
5129 CLINTON DR, KOKOMO, IN 46902-7136
(765) 617-4750
Mailing address
110 SUMMERS DR, TIPTON, IN 46072-8696
(765) 617-4750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008126A
IN
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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