Organization
CONCEPT 3000 DENTAL INC
Active
Other names
C Randall Koepke DDS
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES RANDALL KOEPKE DDS (OWNER DENTIST)
(419) 882-1300
Entity
Organization
Contact information
Practice address
6000 RENAISSANCE PLACE, SUITE B, TOLEDO, OH 43623-4715
(419) 882-1300
Mailing address
6000 RENAISSANCE PLACE, SUITE B, TOLEDO, OH 43623-4715
(419) 882-1300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14687
OH
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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