Eric Joseph Koenig DMD

NPI 1255611901 - Dentist - 122300000X

NPI Details
NPI 1255611901
Gender Male
Enumeration Date 08/26/2011
Last Updated 09/12/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
412TH DENTAL CLINIC
31 NIGHTINGALE RD
EDWARDS AFB CA, 93524, US
Phone (661) 277-2872
Fax
Business Location
1109 IRONWOOD AVE
PALMDALE CA, 93551, US
Phone (858) 922-4843
Fax
Toxanomy
Taxonomy Code 122300000X
License State Colorado
License Number 10558
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According to our database, Eric Joseph Koenig DMD NPI is 1255611901, taxonomy code is 122300000X and license number is 10558, license state is located at Colorado. Eric Joseph Koenig DMD physically located at 412th Dental Clinic, Edwards Afb CA, 93524. NPI Number Eric Joseph Koenig DMD has the Individual type.

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1255611901 NPI number is provided on an as is basis without warranty of any kind. 1255611901 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Joseph Koenig DMD are for informational purposes only.