Individual
DR. ADAM BOUSHEK KOCHENDORFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-5000
Mailing address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-5000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60995
CA
122300000X
Dentist
D8987
OR
Other
Enumeration date
10/15/2007
Last updated
11/15/2022
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