Individual
DR. MALLORY ELIZABETH KOCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 S PAULINA ST DEPT OF, CHICAGO, IL 60612-7210
(312) 996-7555
Mailing address
355 N HALSTED ST APT 1302, CHICAGO, IL 60661-2356
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019034270
IL
122300000X
Dentist
13209
NC
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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