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NPI Code Detail

MEDICARE: DR. KENNETH H KOCHER DMD

MEDICARE:  DR. KENNETH H KOCHER  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry1204NM

General Provider Information

NPI Number : 1659417020
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH H KOCHER DMD
Provider Business Mailing Address
First Line : 10409 MONTGOMERY PKWY NE
Second Line : SUITE 203
City : ALBUQUERQUE
State : NM
Zip : 87111-3852
Country : US
Telephone Number : 505-293-1100
Fax Number : 505-299-9637
Provider Business Practice Location Address
First Line : 10409 MONTGOMERY PKWY NE
Second Line : SUITE 203
City : ALBUQUERQUE
State : NM
Zip : 87111-3852
Country : US
Telephone Number : 505-293-1100
Fax Number : 505-299-9637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/08/2007

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Directions to “ DR. KENNETH H KOCHER DMD” Practice Location

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