Individual
DR. CHARLES RANDALL KOEPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6000 RENAISSANCE PL, SUITE B, TOLEDO, OH 43623-4714
(419) 882-1300
Mailing address
6000 RENAISSANCE PL, SUITE B, TOLEDO, OH 43623-4714
(419) 882-1300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14687
OH
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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