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Organization

TRI-TOWN MODERN DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN MICHAEL KOCH DMD (DENTIST)
(570) 651-3559
Entity
Organization

Contact information

Practice address
42 S MAIN ST, MUNCY, PA 17756-1307
(570) 546-3419
Mailing address
42 S MAIN ST, MUNCY, PA 17756-1307
(570) 546-3419

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/27/2024
Last updated
06/27/2024
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