Organization
KOFFI L. KOUADIO, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOFFI L. KOUADIO DDS (DENTIST, OWNER)
(828) 252-3851
Entity
Organization
Contact information
Practice address
130 BILTMORE AVE, ASHEVILLE, NC 28801-4106
(828) 252-3851
Mailing address
130 BILTMORE AVE, ASHEVILLE, NC 28801-4106
(828) 252-3851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8097
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905467
—
NC
Enumeration date
03/24/2008
Last updated
03/24/2008
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