Organization
KOKOMO FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRINIVAS DURSHANAPALLI DDS (PRESIDENT)
(888) 244-8899
Entity
Organization
Contact information
Practice address
3416 S DIXON RD, KOKOMO, IN 46902-5642
(765) 455-1971
(765) 457-8359
Mailing address
3416 S DIXON RD, KOKOMO, IN 46902-5642
(765) 455-1971
(765) 457-8359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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