| Koh Dental Corporation | |
|
2509 W Mcfadden Ave Suite E Santa Ana CA 92704-2747 | |
| (714) 835-8797 | |
| (714) 835-8797 |
| Full Name | Koh Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 2509 W Mcfadden Ave, Santa Ana, California |
| Authorized Official Name and Position | Philip D Koh (OWNER) |
| Authorized Official Contact | 7148358797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koh Dental Corporation 2509 W Mcfadden Ave Suite E Santa Ana CA 92704-2747 Ph: (714) 835-8797 | Koh Dental Corporation 2509 W Mcfadden Ave Suite E Santa Ana CA 92704-2747 Ph: (714) 835-8797 |
| NPI Number | 1003827395 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003827395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3712501 (California) | Primary |
| 122300000X | Dentist | 53415 (California) | Secondary |
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