| Sue Eunsoo Ko, Dds, Inc. | |
|
10715 S Prairie Ave Inglewood CA 90303-2113 | |
| (310) 419-6463 | |
| (310) 419-4678 |
| Full Name | Sue Eunsoo Ko, Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10715 S Prairie Ave, Inglewood, California |
| Authorized Official Name and Position | Sue Eunsoo Ko (DENTIST) |
| Authorized Official Contact | 3106191497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sue Eunsoo Ko, Dds, Inc. 10715 S Prairie Ave Inglewood CA 90303-2113 Ph: (310) 419-6463 | Sue Eunsoo Ko, Dds, Inc. 10715 S Prairie Ave Inglewood CA 90303-2113 Ph: (310) 419-6463 |
| NPI Number | 1598998817 |
|---|---|
| Provider Enumeration Date | 09/03/2009 |
| Last Update Date | 09/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598998817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 53079 (California) | Primary |
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