Lifetime Dental Care of In, PC

NPI #1396957189 in Kokomo, Indiana

Provider Information

NPI Number: 1396957189
Entity Type: Organization
Organization Name: Lifetime Dental Care of In, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 4, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 927 S WASHINGTON ST
City: Kokomo
State: Indiana
ZIP Code: 46901
Phone: (765) 868-7113

Authorized Official

Name: AMY KROEGER
Title: INS COOD
Phone: (217) 540-5100

Specialties & Taxonomy Codes

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

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