| Ko And Nam Dds A Professional Dental Corporation | |
|
1317 W Foothill Blvd Ste 138 Upland CA 91786-3693 | |
| (909) 303-3449 | |
| Not Available |
| Full Name | Ko And Nam Dds A Professional Dental Corporation |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1317 W Foothill Blvd Ste 138, Upland, California |
| Authorized Official Name and Position | Moon-hee Ko (DDS) |
| Authorized Official Contact | 2137009020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ko And Nam Dds A Professional Dental Corporation 3553 Grayburn Rd Pasadena CA 91107-4628 Ph: () - | Ko And Nam Dds A Professional Dental Corporation 1317 W Foothill Blvd Ste 138 Upland CA 91786-3693 Ph: (909) 303-3449 |
| NPI Number | 1134819717 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134819717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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