Laura C Koch Woodstock LLC DBA Fountain View Dentistry

NPI #1780101659 in Woodstock, Georgia

Provider Information

NPI Number: 1780101659
Entity Type: Organization
Organization Name: Laura C Koch Woodstock LLC DBA Fountain View Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 23, 2017
Last Updated: Aug 23, 2017

Practice Location

Address: 1816 EAGLE DRIVE
Address 2: BUILDING 200-A
City: Woodstock
State: Georgia
ZIP Code: 30189
Phone: (770) 926-0000

Authorized Official

Name: LAURA C. KOCH, DMD
Title: OWNER
Phone: (678) 428-4058

Specialties & Taxonomy Codes

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

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