Organization
COMPREHENSIVE DENTAL CARE OF ALABAMA PC
Active
Other names
KOCH AESTHETIC DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PAUL KOCH IV DMD (OWNER)
(205) 623-1394
Entity
Organization
Contact information
Practice address
2311 HIGHLAND AVE S, SUITE 323, BIRMINGHAM, AL 35205-2972
(205) 623-1394
(205) 933-0367
Mailing address
2311 HIGHLAND AVE S, SUITE 323, BIRMINGHAM, AL 35205-2972
(205) 623-1394
(205) 933-0367
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4938
AL
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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