Kids Smile Innovations LLC

NPI #1619308566 in Kokomo, Indiana

Provider Information

NPI Number: 1619308566
Entity Type: Organization
Organization Name: Kids Smile Innovations LLC
Primary Specialty: Dentist
Enumeration Date: Dec 3, 2013
Last Updated: Dec 3, 2013

Practice Location

Address: 5129 CLINTON DR
City: Kokomo
State: Indiana
ZIP Code: 46902-7136
Phone: (765) 617-4750

Authorized Official

Name: MS. APRIL D SPIVEY
Title: PRACTICE MANAGER
Phone: (767) 617-4750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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