NPI 1033260773

Burton V Largura, DDS

Practitioner Periodontics Kokomo, IN

Practice location

Address: 2705 S Berkley Rd STE 4a, Kokomo, IN 46902-8007
Phone: (765) 453-2619
Fax: (765) 453-5076
Mailing address: 13150 Brookshire Pkwy, Carmel, IN 46033-4602

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence 12010166A (IN)

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Registry record

NPI: 1033260773
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.