C W Bartholomew, Dds, PC

NPI #1568813640 in Kokomo, Indiana

Provider Information

NPI Number
1568813640
Entity Type
Organization
Organization Name
C W Bartholomew, Dds, PC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 29, 2016
Last Updated
Jun 29, 2016

Practice Location

Address
3415 S LAFOUNTAIN ST
Address 2
SUITE C
City
Kokomo
State
Indiana
ZIP Code
46902-3802
Phone
(765) 453-0291

Authorized Official

Name
DR. CHARLES W BARTHOLOMEW JR., DDS
Title
PRACTICE OWNER
Phone
(765) 453-0291

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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