| Richard J Koch, Dds, Pc | |
|
4001 S Southeastern Ave Sioux Falls SD 57103-5305 | |
| (605) 371-3000 | |
| Not Available |
| Full Name | Richard J Koch, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4001 S Southeastern Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Richard J Koch (DENTIST) |
| Authorized Official Contact | 6053713000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard J Koch, Dds, Pc 4001 S Southeastern Ave Sioux Falls SD 57103-5305 Ph: (605) 371-3000 | Richard J Koch, Dds, Pc 4001 S Southeastern Ave Sioux Falls SD 57103-5305 Ph: (605) 371-3000 |
| NPI Number | 1083096739 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 06/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083096739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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