Organization
MIDWEST FAMILY DENTAL CARE-KOKOMO PC
Active
Other names
Northview Dental of Kokomo
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MARTINEZ (BILLING MANAGER)
(269) 388-5832
Entity
Organization
Contact information
Practice address
2714 ROCKFORD LN, KOKOMO, IN 46902-3204
(765) 453-9040
(616) 469-1036
Mailing address
4025 W MAIN ST STE 102, KALAMAZOO, MI 49006-3726
(269) 388-5832
(616) 469-1036
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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