Individual
DR. DOUGLAS JOHN KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
85 THOMAS JOHNSON CT, SUITE A, FREDERICK, MD 21702-4331
(301) 663-0052
Mailing address
9354 CABBAGE RUN RD, FREDERICK, MD 21701-2214
(301) 845-7759
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
8687
MD
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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