Individual
HEEKYOUNG JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
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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