Individual
DR. MARK G. KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13123 E 16TH AVE, B240, AURORA, CO 80045-7106
(720) 777-6788
(720) 777-7239
Mailing address
13123 E 16TH AVE, B240, AURORA, CO 80045-7106
(720) 777-4688
(720) 777-7239
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9353
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12678520
—
CO
Enumeration date
03/06/2007
Last updated
01/03/2011
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