DR. Brian D Koch, D.D.S.

NPI #1083767800 in Green Bay, Wisconsin

Provider Information

NPI Number: 1083767800
Entity Type: Individual
Name: DR. Brian D Koch, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jan 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 315 S MONROE AVE
City: Green Bay
State: Wisconsin
ZIP Code: 54301-4013
Phone: (920) 437-3376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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