Individual
DR. PHILIP JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5225 CANYON CREST DR STE 209, RIVERSIDE, CA 92507-6323
(951) 686-7777
Mailing address
152 CLOUDBREAK, IRVINE, CA 92618-1153
(909) 435-9471
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
48472
CA
Other
Enumeration date
03/01/2011
Last updated
03/07/2022
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