Organization
PEDIATRIC DENTAL SPECIALISTS OF INDIANA PC
Active
Other names
Phillip R Pate
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW D PATE DDS (CORPORATION PRESIDENT/CO -OWNER)
(765) 453-2267
Entity
Organization
Contact information
Practice address
2705 S BERKLEY, BUILDING 2 SUITE B, KOKOMO, IN 46902
(765) 453-2267
(765) 453-1150
Mailing address
2705 S BERKLEY, BUILDING 2 SUITE B, KOKOMO, IN 46902
(765) 453-2267
(765) 453-1150
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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