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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