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Individual

DR. SUNGHWAN KO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
7839 EASTPOINT MALL, BALTIMORE, MD 21224-2116
(443) 503-3139
Mailing address
7839 EASTPOINT MALL, BALTIMORE, MD 21224-2116
(443) 503-3139

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DN1855281
MA
1223G0001X
General Practice Dentistry
03054
RI
1223G0001X
General Practice Dentistry
Primary
16566
MD

Other

Enumeration date
09/16/2009
Last updated
07/24/2018
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