Individual
JULIE KOCH - WOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1410 9TH ST SE, DYERSVILLE, IA 52040-2335
(563) 875-8386
Mailing address
1410 9TH ST SE, DYERSVILLE, IA 52040-2335
(563) 875-8386
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08093
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1274142
—
IA
Enumeration date
04/23/2008
Last updated
04/23/2008
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