Individual
DR. DOUGLAS RICHARD KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10101 E HAMPDEN AVE STE 100, DENVER, CO 80231-4905
(303) 671-0101
(303) 671-9603
Mailing address
10101 E HAMPDEN AVE STE 100, DENVER, CO 80231-4905
(303) 671-0101
(303) 671-9603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10116
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10116
COLORADO STATE DENTAL BOARD
CO
Enumeration date
02/26/2010
Last updated
02/26/2010
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