Individual
JOYCE JAYOUNG KOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
45 S PARK BLVD, SUITE 105, GLEN ELLYN, IL 60137-6280
(630) 858-8755
(630) 858-6204
Mailing address
45 S PARK BLVD, SUITE 105, GLEN ELLYN, IL 60137-6280
(630) 858-8755
(630) 858-6204
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019026966
IL
Other
Enumeration date
11/01/2007
Last updated
12/18/2009
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