Organization
SAMUEL KOO, D.M.D., P.C.
Active
Other names
Wellesley Dental Implants & Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL KOO DMD (PRESIDENT)
(617) 223-7750
Entity
Organization
Contact information
Practice address
386 WASHINGTON ST, WELLESLEY HILLS, MA 02481-6213
(781) 235-6710
Mailing address
214 CONCORD ST UNIT B, NEWTON, MA 02462-1314
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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