Individual
YIUMAN KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
11601 BUSTLETON AVE, PHILADELPHIA, PA 19116-2513
(215) 677-0910
Mailing address
11601 BUSTLETON AVE, PHILADELPHIA, PA 19116-2513
(215) 677-0910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS028557L
PA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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