Organization
HEATHER R KOCH DDS PLLC
Active
Other names
Hinton Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER RENEE KOCH DDS (SOLE MEMBER)
(405) 554-1018
Entity
Organization
Contact information
Practice address
1902 N BROADWAY, HINTON, OK 73047
(405) 554-1018
Mailing address
PO BOX 47, HINTON, OK 73047-0047
(405) 554-1018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6195
OK
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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