Individual
IRA M KOTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1 SW 129TH AVE, SUITE 302, PEMBROKE PINES, FL 33027-1761
(954) 437-4443
(954) 437-5642
Mailing address
1 SW 129TH AVE, SUITE 302, PEMBROKE PINES, FL 33027-1761
(954) 437-4443
(954) 437-5642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10090
FL
Other
Enumeration date
03/16/2007
Last updated
10/12/2012
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