Individual
GIANNA PAOLA KOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SURGEON DENTIST
Contact information
Practice address
4310 MENARD DR STE 300, DULUTH, MN 55811-1564
(218) 279-9985
(218) 279-9987
Mailing address
973 SKYLINE DR SW, ROCHESTER, MN 55902-1220
(208) 996-5851
(507) 424-1042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14279
MN
122300000X
Dentist
LGL14
MN
Other
Enumeration date
06/10/2016
Last updated
01/14/2020
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