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Organization
SUE EUNSOO KO, DDS, INC.
Active
Organization
SUE EUNSOO KO, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUE EUNSOO KO DDS (DENTIST)
(310) 619-1497
Entity
Organization
Contact information
Practice address
10715 S PRAIRIE AVE, INGLEWOOD, CA 90303-2113
(310) 419-6463
(310) 419-4678
Mailing address
10715 S PRAIRIE AVE, INGLEWOOD, CA 90303-2113
(310) 419-6463
(310) 419-4678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53079
CA
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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