Individual provider · Type 1 NPI

Alia Koch, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · New York, NY

NPI number 1861611220 Active

Practice location

622 W 168th St, Vc 7-ORAL And Maxillofacial Surgery Faculty Assoc
New York, NY 10032-3720

Call (212) 305-4552 Map

Mailing address

180 Fort Washington Avenue, HP8-805
New York, NY 10032

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X052024 (NY)
Surgery Physician 208600000X257552 (NY)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1861611220

Alia Koch, DDS, MD's National Provider Identifier is 1861611220, issued on Apr 24, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in New York, NY. The record was last updated on Nov 30, 2024.