Individual
ELIZABETH KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2990 S 6TH AVE, TUCSON, AZ 85713-4705
(520) 200-2985
Mailing address
2990 S 6TH AVE, TUCSON, AZ 85713-4705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
057995
NY
1223G0001X
General Practice Dentistry
Primary
D010523
AZ
Other
Enumeration date
02/12/2014
Last updated
05/01/2020
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