Individual
DR. ADAM DAVID KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
315 S MONROE AVE, GREEN BAY, WI 54301-4013
(920) 437-3376
Mailing address
315 S MONROE AVE, GREEN BAY, WI 54301-4013
(920) 437-3376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001522-15
WI
Other
Enumeration date
05/24/2017
Last updated
07/21/2022
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