| Glenn W Koechling Dds | |
|
17 North 18th Street Kenilworth NJ 07033 | |
| (908) 272-4170 | |
| (908) 272-1420 |
| Full Name | Glenn W Koechling Dds |
|---|---|
| Speciality | Dentist |
| Location | 17 North 18th Street, Kenilworth, New Jersey |
| Authorized Official Name and Position | Glenn W Koechling (PRESIDENT) |
| Authorized Official Contact | 9082724170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn W Koechling Dds 17 North 18th Street Kenilworth NJ 07033 Ph: (908) 272-4170 | Glenn W Koechling Dds 17 North 18th Street Kenilworth NJ 07033 Ph: (908) 272-4170 |
| NPI Number | 1518058189 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518058189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10578 (New Jersey) | Primary |
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