Shock Kokomo, LLC
NPI #1528780418 in Kokomo, Indiana
Provider Information
- NPI Number
- 1528780418
- Entity Type
- Organization
- Organization Name
- Shock Kokomo, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 16, 2022
- Last Updated
- Sep 16, 2022
Practice Location
Authorized Official
- Name
- LIZ SHOCK
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (317) 450-5797
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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