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Organization

RAYMOND KO D.D.S., INC.

Active
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Organization

RAYMOND KO D.D.S., INC.

Active
Other names
Family Dental Team
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAYMOND A KO D.D.S. (OWNER)
(559) 264-4543
Entity
Organization

Contact information

Practice address
1409 N FRESNO ST, FRESNO, CA 93703-3708
(559) 264-4543
(559) 264-0226
Mailing address
1409 N FRESNO ST, FRESNO, CA 93703-3708
(559) 264-4543
(559) 264-0226

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37124
CA
1223P0221X
Pediatric Dentistry
15321
CA

Other

Enumeration date
05/14/2007
Last updated
05/03/2010
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