Individual
DR. CHARLES WILLIAM BARTHOLOMEW JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3415 S LAFOUNTAIN ST, SUITE C, KOKOMO, IN 46902-3802
(765) 453-0291
Mailing address
3415 S LAFOUNTAIN ST, SUITE C, KOKOMO, IN 46902-3802
(765) 453-0291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009183
IN
Other
Enumeration date
11/12/2006
Last updated
06/29/2016
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