Individual
DR. MICHAEL KENNETH KOCEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
217 SE 136TH AVE, 103, VANCOUVER, WA 98684-6907
(360) 953-8135
(360) 953-8124
Mailing address
217 SE 136TH AVE, 103, VANCOUVER, WA 98684-6907
(360) 953-8135
(360) 953-8124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009967
WA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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