Individual
DR. KYUNG SEOK KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
194 BUCKLAND HILLS DR, MANCHESTER, CT 06042-8705
(860) 644-0099
Mailing address
194 BUCKLAND HILLS DR, MANCHESTER, CT 06042-8705
(860) 644-0099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
058900
NY
1223G0001X
General Practice Dentistry
Primary
11214
CT
1223G0001X
General Practice Dentistry
DS040607
PA
Other
Enumeration date
07/02/2014
Last updated
11/21/2016
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