Individual
DR. RONALD MATTHEW KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
10211 144TH ST E, PUYALLUP, WA 98374-4955
(253) 848-7281
Mailing address
10211 144TH ST E, PUYALLUP, WA 98374-4955
(206) 676-2438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.030854
IL
122300000X
Dentist
Primary
DE60810468
WA
Other
Enumeration date
07/13/2016
Last updated
09/18/2021
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