Individual
DR. RYAN LAWRENCE KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
4376 LAKEVILLE RD, GENESEO, NY 14454-9761
(585) 243-3174
Mailing address
4376 LAKEVILLE RD, GENESEO, NY 14454-9761
(585) 243-3174
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
063114
NY
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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