| Kevin Ko, A Professional Dental Corporation | |
|
3190 Old Tunnel Rd Lafayette CA 94549-4185 | |
| (925) 934-0192 | |
| (925) 448-3833 |
| Full Name | Kevin Ko, A Professional Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3190 Old Tunnel Rd, Lafayette, California |
| Authorized Official Name and Position | Kevin Ko (CEO) |
| Authorized Official Contact | 9259340192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Ko, A Professional Dental Corporation 3190 Old Tunnel Rd Lafayette CA 94549-4185 Ph: (925) 934-0192 | Kevin Ko, A Professional Dental Corporation 3190 Old Tunnel Rd Lafayette CA 94549-4185 Ph: (925) 934-0192 |
| NPI Number | 1992557524 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 04/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992557524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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