Kokomo Pediatric Dentistry, LLC
NPI #1063904100 in Kokomo, Indiana
Provider Information
- NPI Number
- 1063904100
- Entity Type
- Organization
- Organization Name
- Kokomo Pediatric Dentistry, LLC
- Primary Specialty
- Dentist - Dental Public Health
- Enumeration Date
- Jun 5, 2018
- Last Updated
- Jun 5, 2018
Practice Location
Authorized Official
- Name
- KEVIN BEADLE, DDS
- Title
- OWNER/DENTIST
- Phone
- (317) 709-2318
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Dental Public Health — Dental Public Health |
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