Individual
JOSEPHINE ANNA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
615 E APPLEBY RD, FAYETTEVILLE, AR 72703-3914
(479) 582-1312
Mailing address
2647 S COBALT AVE, FAYETTEVILLE, AR 72701-4407
(479) 871-8735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4674
AR
Other
Enumeration date
06/08/2023
Last updated
06/13/2023
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