Individual
SHANE YIN KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9900 LINCOLN ST 2ND FLOOR, TACOMA, WA 98431-0001
(253) 968-4079
Mailing address
930 ROSS LOOP APT D403, DUPONT, WA 98327-9052
(786) 202-5218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN30451
FL
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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