Individual
DR. MICHAEL KOFFLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 GREGORY PL, GREENBRAE, CA 94904-3019
(707) 763-1951
Mailing address
10 GREGORY PL, GREENBRAE, CA 94904-3019
(707) 763-1951
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
25081
CA
Other
Enumeration date
10/17/2006
Last updated
10/14/2008
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