Organization
DAVID J. JO DDS MS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAEKWAN JO D.D.S., M.S. (PRESIDENT)
(626) 330-3116
Entity
Organization
Contact information
Practice address
3120 S HACIENDA BLVD, SUITE 205, HACIENDA HEIGHTS, CA 91745-6305
(626) 330-3116
Mailing address
3120 S HACIENDA BLVD, SUITE 205, HACIENDA HEIGHTS, CA 91745-6305
(626) 330-3116
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30682
CA
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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