Individual
DR. VICTOR A. KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3238 KRISAM CREEK DR., LOGANVILLE, GA 30052
(770) 466-0474
(770) 482-1396
Mailing address
3238 KRISAM CREEK DR., LOGANVILLE, GA 30052
(770) 466-0474
(770) 482-1396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8776
GA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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