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1083767800
BRIAN D KOCH
GREEN BAY, WI
NPI
1083767800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 3863)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
Dr. BRIAN D KOCH D.D.S.
315 S MONROE AVE
GREEN BAY, WI 54301-4013
Phone number: 920-437-3376
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Mailing Address
Dr. BRIAN D KOCH D.D.S.
315 S MONROE AVE
GREEN BAY, WI 54301-4013
Phone number: 920-437-3376
Copy
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