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Organization
SAMUEL H. KO, DDS, INC.
Active
Organization
SAMUEL H. KO, DDS, INC.
Active
Other names
Apple Tooth Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL H. KO D.D.S. (PRESIDENT/DENTIST)
(760) 952-3756
Entity
Organization
Contact information
Practice address
12429 MARIPOSA RD, SUITE A, VICTORVILLE, CA 92395-6017
(760) 952-3756
(760) 952-1008
Mailing address
12429 MARIPOSA RD, SUITE A, VICTORVILLE, CA 92395-6017
(760) 952-3756
(760) 952-1008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40454
CA
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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