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Individual

DR. SUSAN SHAN SO KO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
905 MIDDLEFIELD RD, PALO ALTO, CA 94301-3339
(650) 327-2310
Mailing address
10317 FINCH AVE, CUPERTINO, CA 95014-3412
(408) 725-9233

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
51872
CA

Other

Enumeration date
01/31/2007
Last updated
07/08/2007
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