Individual
DR. SAMANTHA M. KOFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1120 W ROSE ST, WALLA WALLA, WA 99362-1662
(509) 525-0247
(509) 522-2349
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
(509) 865-0757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60477203
WA
1223G0001X
General Practice Dentistry
Primary
DE60477203
WA
Other
Enumeration date
08/11/2010
Last updated
01/10/2023
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