Individual
DR. VIVIAN YU-WEI KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2441 21ST STREET, USA DENTAC, FT CAMPBELL, KY 42223-5660
(270) 798-8614
(270) 798-8633
Mailing address
2441 21ST STREET, USA DENTAC, FT CAMPBELL, KY 42223-5660
(270) 798-8614
(270) 798-8633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS038375
PA
1223P0700X
Prosthodontics
Primary
DS038375
PA
Other
Enumeration date
08/21/2010
Last updated
07/29/2015
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