Jennifer P Koch DMD

NPI 1629297742 - Dentist - 1223G0001X

NPI Details
NPI 1629297742
Gender Female
Enumeration Date 04/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
9532 179TH ST
TINLEY PARK IL, 60477-9602, US
Phone (708) 444-2273
Fax (708) 444-7380
Business Location
9532 179TH ST
TINLEY PARK IL, 60477-9602, US
Phone (708) 444-2273
Fax (708) 444-7380
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Dr. Jennifer P Koch DMD NPI is 1629297742, taxonomy code is 1223G0001X Jennifer P Koch DMD physically located at 9532 179th St, Tinley Park IL, 60477-9602. NPI Number Jennifer P Koch DMD has the Individual type.

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1629297742 NPI number is provided on an as is basis without warranty of any kind. 1629297742 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer P Koch DMD are for informational purposes only.