Individual
DR. DANIELE BRESSANELLI KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1611 NW 12TH AVE FL ACC, MIAMI, FL 33136-1005
(305) 585-6857
Mailing address
3815 SW 8TH ST, CORAL GABLES, FL 33134-3001
(305) 443-7501
(305) 443-2888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19122
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/29/2008
Last updated
06/16/2018
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