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1639467236
JACOB E. KOCH
LAWRENCEVILLE, GA
NPI
1639467236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA DN014246)
Enumeration Date
2011-07-16
Last Update Date
2011-07-16
Business Address
-- JACOB E. KOCH D.D.S.
55 TOWLER RD BLDG B
LAWRENCEVILLE, GA 30046-4717
Phone number: 770-962-9560
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Mailing Address
-- JACOB E. KOCH D.D.S.
2401 CRANMORE CT
SNELLVILLE, GA 30078-7733
Phone number: 678-977-8093
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