Organization
IMMEDIATE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSSAMA ELBARAWY DDS (OWNER)
(317) 701-3564
Entity
Organization
Contact information
Practice address
3537 S LAFOUNTAIN ST, SUITE A, KOKOMO, IN 46902-3804
(765) 252-4041
Mailing address
3537 S LAFOUNTAIN ST STE A, KOKOMO, IN 46902-3804
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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