Individual
EMILY ELIZABETH KOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3023 BROADWAY, REDWOOD CITY, CA 94062-1511
(650) 474-0551
Mailing address
3023 BROADWAY, REDWOOD CITY, CA 94062-1511
(650) 474-0551
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
26926
CA
124Q00000X
Dental Hygienist
60082949
WA
Other
Enumeration date
01/27/2018
Last updated
01/27/2018
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