Individual
KYLE XAVIER KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3485 W 10TH ST, GREELEY, CO 80634-5367
(970) 815-3910
Mailing address
5968 S KENTON WAY, ENGLEWOOD, CO 80111-5726
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205931
CO
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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