Organization
DAVID KOENTOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KOENTOP D.C. (DOCTOR OF CHIROPRACTIC)
(732) 267-2073
Entity
Organization
Contact information
Practice address
1269 BARCLAY CIR SE, LIFE UNIVERSITY: LUSSI, MARIETTA, GA 30060-2903
(732) 267-2073
Mailing address
1950 ROSWELL RD, APT 12A4, MARIETTA, GA 30068-3060
(732) 267-2073
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CHIR009216
GA
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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