Organization
MICHAEL F KOFFLER DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KOFFLER (OWNER)
(707) 763-1951
Entity
Organization
Contact information
Practice address
131 LYNCH CREEK WAY STE A, PETALUMA, CA 94954-2391
(707) 763-1951
Mailing address
131 LYNCH CREEK WAY STE A, PETALUMA, CA 94954-2391
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
25081
CA
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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