| Koch & Crossley LLC | |
|
1299 Russell Pkwy Warner Robins GA 31088-5582 | |
| (478) 923-6449 | |
| Not Available |
| Full Name | Koch & Crossley LLC |
|---|---|
| Speciality | Dentist |
| Location | 1299 Russell Pkwy, Warner Robins, Georgia |
| Authorized Official Name and Position | Laura Koch (DENTIST) |
| Authorized Official Contact | 4789236449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koch & Crossley LLC 1299 Russell Pkwy Warner Robins GA 31088-5582 Ph: (478) 923-6449 | Koch & Crossley LLC 1299 Russell Pkwy Warner Robins GA 31088-5582 Ph: (478) 923-6449 |
| NPI Number | 1336570837 |
|---|---|
| Provider Enumeration Date | 12/09/2013 |
| Last Update Date | 12/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336570837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN010803 (Georgia) | Primary |
| 122300000X | Dentist | DN013676 (Georgia) | Secondary |
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