| Song Hoe Koo Dds Inc | |
|
3663 W 6th St #204 Los Angeles CA 90020-3049 | |
| (213) 383-7500 | |
| (213) 383-6910 |
| Full Name | Song Hoe Koo Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3663 W 6th St, Los Angeles, California |
| Authorized Official Name and Position | Song Hoe Koo (PRESIDENT) |
| Authorized Official Contact | 2133837500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Song Hoe Koo Dds Inc 3663 W 6th St #204 Los Angeles CA 90020-3049 Ph: (213) 383-7500 | Song Hoe Koo Dds Inc 3663 W 6th St #204 Los Angeles CA 90020-3049 Ph: (213) 383-7500 |
| NPI Number | 1821406471 |
|---|---|
| Provider Enumeration Date | 07/28/2014 |
| Last Update Date | 07/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821406471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 51096 (California) | Primary |
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