Carmen Lee Koepl

NPI #1073095501 in Moscow, Idaho

Provider Information

NPI Number: 1073095501
Entity Type: Individual
Name: Carmen Lee Koepl
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Aug 31, 2018
Last Updated: Mar 31, 2021

Practice Location

Address: 803 S MAIN ST STE 120
City: Moscow
State: Idaho
ZIP Code: 83843-2695
Phone: (208) 848-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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