# KO DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ko Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073203485
- **Authorized official:** JEANA WARD (OFFICE MANAGER)
- **Authorized official phone:** (206) 624-7706

## Contact information

- **Practice address:** 600 UNIVERSITY ST STE 819, SEATTLE, WA 98101-4117
- **Practice address phone:** (206) 624-7706
- **Practice address fax:** (206) 264-0527
- **Mailing address:** 600 UNIVERSITY ST STE 819, SEATTLE, WA 98101-4117
- **Mailing address phone:** (206) 624-7706
- **Mailing address fax:** (206) 264-0527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | NULL | Yes |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2023
- **Last updated:** 05/09/2023