C Randall Koepke Dds | |
6000 Renaissance Place Suite B Toledo OH 43623-4715 | |
(419) 882-1300 | |
Not Available |
Full Name | C Randall Koepke Dds |
---|---|
Speciality | Dentist |
Location | 6000 Renaissance Place, Toledo, Ohio |
Authorized Official Name and Position | Charles Randall Koepke (OWNER DENTIST) |
Authorized Official Contact | 4198821300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
C Randall Koepke Dds 6000 Renaissance Place Suite B Toledo OH 43623-4715 Ph: (419) 882-1300 | C Randall Koepke Dds 6000 Renaissance Place Suite B Toledo OH 43623-4715 Ph: (419) 882-1300 |
NPI Number | 1316019540 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316019540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 14687 (Ohio) | Primary |
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