TAPAN KOTICHA

EDMOND, OK
NPI1497023196
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: OK  72)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: MI  2901020564)
Enumeration Date2011-12-08
Last Update Date2023-12-14
Business Address
TAPAN KOTICHA BDS, MDS
16430 MUIRFIELD PLACE
EDMOND, OK 73013-9161
Phone number: 405-696-0908
Mailing Address
TAPAN KOTICHA BDS, MDS
16913 SHORERUN DR
EDMOND, OK 73012-8440
Phone number: