Individual
DR. PHILIP ERICH KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1221 SHERWOOD PARK DRIVE, SUITE B, GAINESVILLE, GA 30501
(770) 534-1492
(770) 534-8309
Mailing address
1221 SHERWOOD PARK DRIVE, SUITE B, GAINESVILLE, GA 30501
(770) 534-1492
(770) 534-8309
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8279
GA
Other
Enumeration date
09/21/2006
Last updated
03/23/2017
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