Individual
DR. ANNE LAUREN KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
29 LEWIS BAY BLVD, SUITE 4, WEST YARMOUTH, MA 02673
(631) 219-9845
Mailing address
PO BOX 778, WEST YARMOUTH, MA 02673
(631) 219-9845
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN13735
MA
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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