Individual
DR. ANNIE KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1711 VIA EL PRADO STE 400B, REDONDO BEACH, CA 90277-5728
(310) 792-8610
Mailing address
1711 VIA EL PRADO STE 400B, REDONDO BEACH, CA 90277-5728
(310) 792-8610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33111
CA
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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