Philip Erich Koch DMD

NPI 1023117629 - Dentist - 1223S0112X

NPI Details
NPI 1023117629
Gender Male
Enumeration Date 09/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1221 SHERWOOD PARK DRIVE
SUITE B
GAINESVILLE GA, 30501, US
Phone (770) 534-1492
Fax (770) 534-8309
Business Location
1221 SHERWOOD PARK DRIVE
SUITE B
GAINESVILLE GA, 30501, US
Phone (770) 534-1492
Fax (770) 534-8309
Toxanomy
Taxonomy Code 1223S0112X
License State Georgia
License Number 8279
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According to our database, Dr. Philip Erich Koch DMD NPI is 1023117629, taxonomy code is 1223S0112X and license number is 8279, license state is located at Georgia. Philip Erich Koch DMD physically located at 1221 Sherwood Park Drive, Gainesville GA, 30501. NPI Number Philip Erich Koch DMD has the Individual type.

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1023117629 NPI number is provided on an as is basis without warranty of any kind. 1023117629 is maintained by the National Plan & Provider Enumeration System. The contents of Philip Erich Koch DMD are for informational purposes only.