Individual
DR. AYE K. KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
1223G0001X
General Practice Dentistry
Primary
37124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1310258
UNITED CONCORDIA
—
01
—
G91796-01
DENTI-CAL
CA
01
—
G98007-01
HEALTHY FAMILIES
CA
Enumeration date
10/13/2006
Last updated
07/08/2007
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