BRADLEY S KOCH

GREEN BAY, WI
NPI1013921196
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WI  4005-015)
Enumeration Date2006-07-27
Last Update Date2007-07-08
Business Address
Dr. BRADLEY S KOCH D.D.S.
2353 S RIDGE RD
GREEN BAY, WI 54304-5069
Phone number: 920-499-0471
Mailing Address
Dr. BRADLEY S KOCH D.D.S.
2353 S RIDGE RD
GREEN BAY, WI 54304-5069
Phone number: 920-499-0471
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