Organization
KO AND NAM DDS A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOON-HEE KO (DDS)
(213) 700-9020
Entity
Organization
Contact information
Practice address
1317 W FOOTHILL BLVD STE 138, UPLAND, CA 91786-3693
(909) 303-3449
Mailing address
3553 GRAYBURN RD, PASADENA, CA 91107-4628
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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