Organization
PHILIP D. JO, D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP DAE-HYUN JO D.D.S. (PRESIDENT/OWNER)
(909) 435-9471
Entity
Organization
Contact information
Practice address
2 OSBORN ST, STE 130, IRVINE, CA 92604-8656
(949) 748-3636
(949) 748-3638
Mailing address
2 OSBORN ST, STE 130, IRVINE, CA 92604-8656
(949) 748-3636
(949) 748-3638
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
48472
CA
Other
Enumeration date
12/14/2006
Last updated
11/25/2014
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