Individual
DR. THOMAS E KOERTGE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
521 N 11TH STREET, DENTAL FACULTY PRACTICE, RICHMOND, VA 23298-0566
(804) 828-3368
Mailing address
521 N 11TH STREET, DEPARTMENT OF PERIODONTICS, RICHMOND, VA 23298-0566
(804) 828-7952
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401006156
VA
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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