| C Randall Koepke DDS | |
|
6000 Renaissance Place Suite B Toledo OH 43623-4715 | |
| (419) 882-1300 | |
| Not Available |
| Full Name | C Randall Koepke DDS |
|---|---|
| Speciality | Dentist |
| Location | 6000 Renaissance Place, Toledo, Ohio |
| Authorized Official Name and Position | Charles Randall Koepke (OWNER DENTIST) |
| Authorized Official Contact | 4198821300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C Randall Koepke DDS 6000 Renaissance Place Suite B Toledo OH 43623-4715 Ph: (419) 882-1300 | C Randall Koepke DDS 6000 Renaissance Place Suite B Toledo OH 43623-4715 Ph: (419) 882-1300 |
| NPI Number | 1316019540 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316019540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14687 (Ohio) | Primary |
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