Jp Dental - Kokomo LLC

NPI #1336592849 in Kokomo, Indiana

Provider Information

NPI Number: 1336592849
Entity Type: Organization
Organization Name: Jp Dental - Kokomo LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 20, 2016
Last Updated: Jul 20, 2016

Practice Location

Address: 2714 ROCKFORD LN
City: Kokomo
State: Indiana
ZIP Code: 46902-3204
Phone: (765) 453-9040

Authorized Official

Name: DR. JOHN PASICZNYK, DDS
Title: MANAGER
Phone: (765) 453-9040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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