Individual
HEEKYOUNG JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
8001 WESTMINSTER BLVD, WESTMINSTER, CA 92683-3302
(714) 230-0009
Mailing address
33 CENTRE CT, DANA POINT, CA 92629-4105
(847) 476-4050
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
021001802
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
63188
CA
Other
Enumeration date
05/23/2008
Last updated
10/10/2017
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