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Organization

LAURA C KOCH WOODSTOCK LLC DBA FOUNTAIN VIEW DENTISTRY

Active
Other names
dba Fountain View Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA C. KOCH DMD (OWNER)
(678) 428-4058
Entity
Organization

Contact information

Practice address
1816 EAGLE DRIVE, BUILDING 200-A, WOODSTOCK, GA 30189
(770) 926-0000
Mailing address
1816 EAGLE DRIVE, BUILDING 200-A, WOODSTOCK, GA 30189
(770) 926-0000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/23/2017
Last updated
08/23/2017
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