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Individual

DR. STEVEN JAY KOEHLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
4745 BOARDWALK DR, SUITE D102, FORT COLLINS, CO 80525-3768
(970) 223-6101
(970) 530-1593
Mailing address
4745 BOARDWALK DR, SUITE D102, FORT COLLINS, CO 80527
(970) 223-6101
(970) 530-1593

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7204
CO

Other

Enumeration date
07/20/2006
Last updated
07/08/2007
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