Individual
DR. BERNARD KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
420 ORD ST, SUITE 102-A, LOS ANGELES, CA 90012-2834
(213) 617-0136
Mailing address
1490 ATOLL, WEST COVINA, CA 91790-3383
(626) 960-9660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37437
CA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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