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Organization
ERIC R. KOCH DDS PC
Active
Organization
ERIC R. KOCH DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC RANDOLPH KOCH DDS (OWNER)
(409) 384-5438
Entity
Organization
Contact information
Practice address
211 E. HOUSTON ST, JASPER, TX 75951-4407
(409) 384-5438
(409) 384-6082
Mailing address
211 E. HOUSTON ST, JASPER, TX 75951-4407
(409) 384-5438
(409) 384-6082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15428
TX
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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