DR. Michael John Koppe, DDS
NPI #1952435810 in Larkspur, California
Provider Information
- NPI Number
- 1952435810
- Entity Type
- Individual
- Name
- DR. Michael John Koppe, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5 BON AIR RD STE 114
- Address 2
- MICHAEL KOPPE DDS
- City
- Larkspur
- State
- California
- ZIP Code
- 94939-1135
- Phone
- (415) 924-2585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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