Individual
DR. BERNICE TAN KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
323 LINCOLN BLVD, VENICE, CA 90291-2842
(310) 392-4103
Mailing address
10317 MISSOURI AVE, #1, LOS ANGELES, CA 90025-5080
(310) 557-2712
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
40163
CA
Other
Enumeration date
04/19/2007
Last updated
04/28/2022
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