# D KOO PC

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

## Provider details

- **NPI number:** 1093535452
- **Authorized official:** DONGHYUN KOO (OWNER)
- **Authorized official phone:** (571) 528-7767

## Contact information

- **Practice address:** 3900 E VALLEY RD STE 203, RENTON, WA 98057-4954
- **Practice address phone:** (425) 264-0044
- **Mailing address:** 3900 E VALLEY RD STE 203, RENTON, WA 98057-4954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2024
- **Last updated:** 10/11/2024