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Individual
MR. HYUNG KWON KO
Active
Individual
MR. HYUNG KWON KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS037564
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
61538
CA
Other
Enumeration date
07/15/2008
Last updated
12/10/2012
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