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TERESA ANN KOCH-ELY DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1609925791

Individual Registrant:
 TERESA ANN KOCH-ELY DDS
Gender: F
Sole Proprietor

Location and contact information for practice:
120 N MAIN ST  BELLEVUE, MI 49021-1232 US
Tel: 269-763-2092  Fax: --

Contact information for business:
120 N MAIN ST  BELLEVUE, MI 49021-1232 US
Tel: 269-763-2092  Fax: --

Registration Information:
NPI: 1609925791
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
MI2901016943

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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