Gang I Ko, DMD | |
4141 Spruce St Apt G1, Philadelphia, PA 19104-4071 | |
(240) 888-0620 | |
Not Available |
Full Name | Gang I Ko |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 4141 Spruce St Apt G1, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568832913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DS040601 (Pennsylvania) | Primary |
Mailing Address | Practice Location Address |
---|---|
Gang I Ko, DMD 4141 Spruce St Apt G1, Philadelphia, PA 19104-4071 Ph: () - | Gang I Ko, DMD 4141 Spruce St Apt G1, Philadelphia, PA 19104-4071 Ph: (240) 888-0620 |
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