Samuel L. Koth, Dds, PC

NPI #1760734263 in Rock Valley, Iowa

Provider Information

NPI Number
1760734263
Entity Type
Organization
Organization Name
Samuel L. Koth, Dds, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 8, 2012
Last Updated
Oct 8, 2012

Practice Location

Address
1220 21ST AVE
State
Iowa
ZIP Code
51247-1420
Phone
(712) 476-2749

Authorized Official

Name
DR. SAMUEL LEE KOTH, DDS
Title
DENTIST/PRESIDENT
Phone
(712) 476-2749

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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