Organization
LADD DENTAL GROUP OF MCCORDSVILLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY LADD (CEO)
(765) 455-0085
Entity
Organization
Contact information
Practice address
6653 W BROADWAY, MCCORDSVILLE, IN 46055-9558
(765) 455-0085
Mailing address
2333 W LINCOLN RD, KOKOMO, IN 46902-8012
(765) 455-0085
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
IN
Other
Enumeration date
06/28/2017
Last updated
08/02/2022
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