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Organization
Y. JASMINE KO DDS PROFESSIONAL CORPORATION
Active
Organization
Y. JASMINE KO DDS PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YI J KO DDS (PRESIDENT)
(626) 290-4442
Entity
Organization
Contact information
Practice address
1850 S AZUSA AVE STE 108, HACIENDA HEIGHTS, CA 91745-6827
(626) 912-9394
Mailing address
710 WHITEWING LN, WALNUT, CA 91789-1849
(626) 290-4442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/25/2022
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