Organization
DOUGLAS J. KOCH, D.D.S.,L.L.C.
Active
Other names
Endodontic Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS J KOCH D.D.S. (OWNER)
(301) 663-0052
Entity
Organization
Contact information
Practice address
85 THOMAS JOHNSON CT, SUITE A, FREDERICK, MD 21702-4331
(301) 663-0052
Mailing address
9354 CABBAGE RUN RD, FREDERICK, MD 21701-2214
(301) 845-7759
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
8687
MD
Other
Enumeration date
10/26/2006
Last updated
08/22/2020
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