Individual
SONG HOE KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2040 S BREA CANYON RD, STE #210, DIAMOND BAR, CA 91765
(909) 396-0077
(909) 396-0071
Mailing address
2040 S BREA CANYON RD, STE #210, DIAMOND BAR, CA 91765
(909) 396-0077
(909) 396-0071
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
51096
CA
Other
Enumeration date
06/06/2008
Last updated
09/26/2013
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