Individual
JADE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
517 N MAIN ST, REDFIELD, SD 57469-1208
(605) 472-3700
Mailing address
1204 32ND AVE NE, ABERDEEN, SD 57401-2631
(402) 741-0545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1363
SD
Other
Enumeration date
06/08/2022
Last updated
06/19/2022
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