Individual
DR. BONGSANG KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3358 COTTMAN AVE, PHILADELPHIA, PA 19149-1601
(215) 624-6181
Mailing address
3358 COTTMAN AVE, PHILADELPHIA, PA 19149-1601
(215) 624-6181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS038261
PA
Other
Enumeration date
06/24/2010
Last updated
12/16/2016
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