| NPI | 1316019540 |
|---|---|
| Doing Business As | C RANDALL KOEPKE DDS |
| Entity Type | Organization |
| Authorized Contact | CHARLES RANDALL KOEPKE Owner Dentist 419-882-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 14687) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |